ABSTRACT
Overview of Healthcare Payment Systems Payment for healthcare services is provided through a wide variety of sometimes very different payment systems. For hospital services, skilled nursing facilities, and similar organizations, there are prospective payment systems. In other instances, there may be cost-based or charge-based payment systems utilized. This book is dedicated to fee schedule payment systems
Conceptually, fee schedule payment systems are one of the simpler approaches. However, as we will discover, even straightforward healthcare payment systems can, and indeed do, become quite complex. A particular payment system or even a general type of payment system does not exist in a vacuum. When services are provided, there may be multiple payment systems involved. Thus, care must be taken to understand how different payment systems interface with one another.
