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2005•Unpublished venueRequires access

Preliminary Analyses of Changes in Coding and Case Mix Under the Inpatient Rehabilitation Facility Prospective Payment System

Grace M. Carter, Susan M. Paddock

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Abstract

Congress has mandated use of a prospective payment system to pay for Medicare patient stays at inpatient rehabilitation facilities and that changes in payment amounts should accurately reflect changes in patient case mix-the true cost of treating patients-and not be influenced by changes in coding practices. This report analyzes case mix during 2002 and compares it with case mix under the old system in 1999.

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What this paper is about

Congress has mandated use of a prospective payment system to pay for Medicare patient stays at inpatient rehabilitation facilities and that changes in payment amounts should accurately reflect changes in patient case mix-the true cost of treating patients-and not be influenced by changes in coding practices. This report analyzes case mix during 2002 and compares it with case mix under the old system in 1999.

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OpenAlex reports 8 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

Congress has mandated use of a prospective payment system to pay for Medicare patient stays at inpatient rehabilitation facilities and that changes in payment amounts should accurately reflect changes in patient case mix-the true cost of treating patients-and not be influenced by changes in coding practices. This report analyzes case mix during 2002 and compares it with case mix under the old system in 1999.

Key concepts: Prospective payment system, Case mix index, Payment, Rehabilitation, Payment system, Coding (social sciences), Business, Payment by Results

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