Potential impact of the new medicare prospective payment system on reimbursement for traumatic brain injury inpatient rehabilitation1,2 Jeanne M Hoffman,

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Potential impact of the new medicare prospective payment system on reimbursement for traumatic brain injury inpatient rehabilitation1,2 Jeanne M Hoffman, PhD, Jason N Doctor, PhD, Leighton Chan, MD, MPH, John Whyte, MD, PhD, Amit Jha, MD, MPH, Sureyya Dikmen, PhD Archives of Physical Medicine and Rehabilitation Volume 84, Issue 8, Pages 1165-1172 (August 2003) DOI: 10.1016/S0003-9993(03)00232-6

Fig 1 PPS flow chart when LOS equals or exceeds average Medicare LOS. ∗Medicare limits outlier payments to 3% of total yearly payments. Archives of Physical Medicine and Rehabilitation 2003 84, 1165-1172DOI: (10.1016/S0003-9993(03)00232-6)

Fig 2 Sensitivity analysis to evaluate the PPS payment increase with incremental upcoding of comorbid conditions. Archives of Physical Medicine and Rehabilitation 2003 84, 1165-1172DOI: (10.1016/S0003-9993(03)00232-6)

Fig 3 Ratio of payment for high-cost outliers to total PPS payment. Archives of Physical Medicine and Rehabilitation 2003 84, 1165-1172DOI: (10.1016/S0003-9993(03)00232-6)

Fig 4 Sensitivity analysis to evaluate robustness of difference between PPS payment and cost of rehabilitation per day. Archives of Physical Medicine and Rehabilitation 2003 84, 1165-1172DOI: (10.1016/S0003-9993(03)00232-6)