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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,

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Presentation on theme: "Potential impact of the new medicare prospective payment system on reimbursement for traumatic brain injury inpatient rehabilitation1,2  Jeanne M Hoffman,"— Presentation transcript:

1 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 (August 2003) DOI: /S (03)

2 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  , DOI: ( /S (03) )

3 Fig 2 Sensitivity analysis to evaluate the PPS payment increase with incremental upcoding of comorbid conditions. Archives of Physical Medicine and Rehabilitation  , DOI: ( /S (03) )

4 Fig 3 Ratio of payment for high-cost outliers to total PPS payment.
Archives of Physical Medicine and Rehabilitation  , DOI: ( /S (03) )

5 Fig 4 Sensitivity analysis to evaluate robustness of difference between PPS payment and cost of rehabilitation per day. Archives of Physical Medicine and Rehabilitation  , DOI: ( /S (03) )


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