PMID: 2494370Jan 1, 1989Paper

Impact of Medicare prospective reimbursement system on nutritional support service patients: the importance of pass throughs

JPEN. Journal of Parenteral and Enteral Nutrition
T P ClemmerH Peterson

Abstract

The financial data of all patients (535) admitted to the Nutritional Support Service (NSS) during 1985, including charges, true care costs, and actual reimbursement including pass-through payments (which are Medicare funds given directly to hospitals for education and capital equipment, and vary significantly from hospital to hospital), were analyzed. The NSS Medicare patients fell into 98 diagnostic related groups (DRGs). All 3,939 Medicare patients admitted in 1985 with the same DRGs as the NSS patients were also identified and their financial data analyzed. The NSS patients lost $999,643 because of the 266 medicare reimbursed NSS patients sustained high losses which overwhelmed the modest profits of the 269 non-Medicare patients. When data from all Medicare patients (which includes both NSS and non-NSS patients) with the same DRGs are analyzed, large profits are realized. These profits are totally due to pass-through payments received. Without pass throughs the loss for all 3,939 Medicare patients in these 98 DRGs would have been $1,641,273. The impact of eliminating pass throughs in the next few years needs to be determined. NSS patients represent a group that generates high financial losses under the federal prospective re...Continue Reading

References

Jun 7, 1979·The New England Journal of Medicine·S A SchroederH E Roberts
Jul 28, 1978·JAMA : the Journal of the American Medical Association·K W HarlessC D Schmidt
Jan 1, 1986·JPEN. Journal of Parenteral and Enteral Nutrition·G F Anderson, E P Steinberg
Jan 1, 1987·JPEN. Journal of Parenteral and Enteral Nutrition·G RobinsonG M Levine
Apr 1, 1988·The Journal of Trauma·F ThomasE A Christison
Apr 5, 1984·The New England Journal of Medicine·P B Ginsburg, F A Sloan
Apr 1, 1984·Annals of Internal Medicine·B C Vladeck
Sep 1, 1984·JPEN. Journal of Parenteral and Enteral Nutrition·M V Kaminski
Dec 1, 1982·Critical Care Medicine·R M GardnerJ F Orme

❮ Previous
Next ❯

Citations

Jan 1, 1991·International Journal of Clinical Monitoring and Computing·T P Clemmer, R M Gardner
Sep 1, 1994·Journal of the American Dietetic Association·J T HassellL E Harkins
Aug 1, 1994·Journal of the American Geriatrics Society·J D Lantos
Mar 4, 2000·Journal of Pediatric Gastroenterology and Nutrition·C de LucasA Carrillo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the American Dietetic Association
S C Finn, A Gallagher
Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
A Bothe
International Journal of Clinical Monitoring and Computing
R M GardnerT D East
International Journal of Clinical Monitoring and Computing
B J LeyerleM M Shabot
© 2022 Meta ULC. All rights reserved