The information revolution has effected tumultuous change in the process by which physicians receive compensation for their services.
In an effort to predict and control costs, a labyrinthine coding system, together with multilayered rules and regulations, has been developed to pinpoint medical function.
Computerization of the insurance industry allows vigilant scrutiny of the physicians claims.
Since noncompliance with payment rules now carries legal or monetary consequences, physicians need to pay careful attention to payer methodology, not only to fulfill the requirements of the law but also to receive accurate and optimal reimbursement.
This article is designed to help practitioners unscramble these exacting mandates and stay in alignment.
Mots-clés Pascal : Appareil urinaire pathologie, Homme, Relation médecin malade, Conduite à tenir, Arbre décision, Diagnostic, Codage, Rémunération, Méthodologie, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Urinary system disease, Human, Physician patient relation, Clinical management, Decision tree, Diagnosis, Coding, Remuneration, Methodology, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0254731
Code Inist : 002B30A05. Création : 16/11/1999.