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Distorted Medicare Reimbursements : The Effects of Cost Accounting Choices
Oleh:
Hwang, Yuhchang
;
Kirby, Alison J.
Jenis:
Article from Bulletin/Magazine
Dalam koleksi:
Journal of Management Accounting Research vol. 6 (1994)
,
page 128-143.
Topik:
COST ACCOUNTING
;
medicare reimbursements
;
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
JJ36.2
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
In this paper we demonstrate the potential reimbursement distortion from using a single cost driver for allocating hospital inpatient care costs to patients. Given that payments for hospital inpatient care are closely related to hospitals' reported costs, if hospitals' inpatient care costs are driven by multiple drivers but are allocated and reported based on only a single cost driver, it is likely that the reported cost and consequently the level of reimbursement by individual insurers to hospitals will be distorted. Our analysis provides an estimate of the extent to which Medicare's current costing procedures generate inequities in absolute and relative levels of reimbursement. Because of the large absolute level of health care expenditures, even small percentage changes may produce significant economic consequences.
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