This book provides an overview of a wide range of healthcare payment systems. It compares cost-based systems, charge-based payment approaches, and contractually-based payment processes to fee-schedule payment systems and prospective payment systems. It covers claim adjustment and compliance as...

Foreword : fee schedule payment systems -- Introduction to fee schedule payment systems -- Healthcare provider concepts -- Anatomy of a fee schedule payment system -- Medicare physician fee schedule -- Other medicare fee schedule payment systems -- Private third-party payer fee schedule systems.