RESUMO
Under Medicare, providers that are part of a chain can be reimbursed for an allocable portion of allowable home office costs. Before a provider can be reimbursed for these costs, however, a home office cost statement must be submitted to the providers' fiscal intermediary. The statement provides a means of allocating certain home office costs to the provider components of a system so that providers can be reimbursed directly for these costs. The home office cost statement also offers a useful financial overview of the home office's operations in relation to the system's overall operations.
Assuntos
Prestação Integrada de Cuidados de Saúde/economia , Auditoria Financeira , Reembolso de Seguro de Saúde , Medicare/organização & administração , Centers for Medicare and Medicaid Services, U.S. , Alocação de Custos , Prestação Integrada de Cuidados de Saúde/organização & administração , Documentação , Controle de Formulários e Registros , Estados UnidosRESUMO
As the debate over healthcare reform continues, the controversy concerning "any willing provider" laws also continues. "Any willing provider" laws require a healthcare insurer (or managed care organization) to establish criteria that a provider must meet in order to participate as a network provider. Such laws prohibit an insurer from denying any provider willing to meet those criteria from participating as a network provider. Proponents of any willing provider laws cite the recent decision by the U.S. Supreme Court not to review a lower court ruling finding in favor of a hospital as validation of such laws.
