Risky business: capital equipment acquisitions in the new regulatory climate. 1992

G Conbeer

Capital equipment acquisition has been paralyzed by three Medicare regulations. The Prospective Payment System, Resource-Based Relative Value Scale, and Safe Harbor rules could sink healthcare provider purchasing plans without proper navigational charting.

UI MeSH Term Description Entries
D011445 Prospective Payment System A system wherein reimbursement rates are set, for a given period of time, prior to the circumstances giving rise to actual reimbursement claims. Discretionary Adjustment Factor,Prospective Pricing,Prospective Reimbursement,Reimbursement, Prospective,Adjustment, Discretionary,Adjustment Factor, Discretionary,Adjustment Factors, Discretionary,Adjustments, Discretionary,Discretionary Adjustment,Discretionary Adjustment Factors,Discretionary Adjustments,Factor, Discretionary Adjustment,Factors, Discretionary Adjustment,Payment System, Prospective,Payment Systems, Prospective,Pricing, Prospective,Prospective Payment Systems,Prospective Reimbursements,Reimbursements, Prospective,System, Prospective Payment,Systems, Prospective Payment
D011682 Purchasing, Hospital Hospital department responsible for the purchasing of supplies and equipment. Hospital Purchasing,Hospital Purchasings,Purchasings, Hospital
D002201 Capital Expenditures Those funds disbursed for facilities and equipment, particularly those related to the delivery of health care. Capital Expenditure,Expenditure, Capital,Expenditures, Capital
D005607 Fraud Exploitation through misrepresentation of the facts or concealment of the purposes of the exploiter. Fraud, Health Care,Health Care Fraud,Kickbacks,Drug Counterfeiting,Healthcare Fraud,Counterfeiting, Drug,Fraud, Healthcare,Health Care Frauds,Kickback
D006278 Medicare Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976) Health Insurance for Aged and Disabled, Title 18,Insurance, Health, for Aged and Disabled,Health Insurance for Aged, Disabled, Title 18,Health Insurance for Aged, Title 18
D006759 Hospital-Physician Joint Ventures A formal financial agreement made between one or more physicians and a hospital to provide ambulatory alternative services to those patients who do not require hospitalization. Joint Ventures, Hospital-Physician,Physician-Hospital Organizations,Hospital-Physician Joint Venture,Hospital-Physician Organizations,Joint Venture, Hospital-Physician,Joint Ventures,Organizations, Hospital-Physician,Organizations, Physician-Hospital,Hospital Physician Joint Venture,Hospital Physician Joint Ventures,Hospital Physician Organizations,Hospital-Physician Organization,Joint Venture,Joint Venture, Hospital Physician,Joint Ventures, Hospital Physician,Organization, Hospital-Physician,Organization, Physician-Hospital,Organizations, Hospital Physician,Organizations, Physician Hospital,Physician Hospital Organizations,Physician-Hospital Organization,Venture, Hospital-Physician Joint,Venture, Joint,Ventures, Hospital-Physician Joint,Ventures, Joint
D013675 Technology, High-Cost Advanced technology that is costly, requires highly skilled personnel, and is unique in its particular application. Includes innovative, specialized medical/surgical procedures as well as advanced diagnostic and therapeutic equipment. High-Cost Technology,High Cost Technology,Technology, High Cost
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D015895 Relative Value Scales Coded listings of physician or other professional services using units that indicate the relative value of the various services they perform. They take into account time, skill, and overhead cost required for each service, but generally do not consider the relative cost-effectiveness. Appropriate conversion factors can be used to translate the abstract units of the relative value scales into dollar fees for each service based on work expended, practice costs, and training costs. Relative-Value Schedules,Resource-Based Relative Value Scale,Resource Based Relative Value Scale,Relative Value Scale,Relative Value Schedules,Relative-Value Schedule,Scale, Relative Value,Scales, Relative Value,Schedule, Relative-Value,Schedules, Relative-Value
D016365 Liability, Legal Accountability and responsibility to another, enforceable by civil or criminal sanctions. Institutional Liability,Personal Liability,Professional Liability,Legal Liability,Medical Liability,Torts,Institutional Liabilities,Legal Liabilities,Liabilities, Institutional,Liabilities, Legal,Liabilities, Medical,Liabilities, Personal,Liabilities, Professional,Liability, Institutional,Liability, Medical,Liability, Personal,Liability, Professional,Medical Liabilities,Personal Liabilities,Professional Liabilities,Tort

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