Payment System

Group Assignment Cover Sheet Systems Analysis and Modelling, Semester 2, 2015 Every member of the group must keep a photocopy or electronic copy of the assignment. Name of Tutor: Tutorial Time: Tuesday 6.30pm Case Study Name/Number: E-ticket.Com Assignment No.: 1 Number of pages: (including this cover sheet) 7 Mark/Grade: We declare that this assignment is solely our own work,

Background of the MS-DRG’s Centers for Medicare and Medicaid Services (CMS) adopted the Medical Severity Diagnosis Related Groups (MS-DRGs) for use in the Inpatient Prospective Payment System (IPPS) in the fiscal year 2008, which ran from October 1, 2007 through September 30, 2008. CMS was influenced by the Medicare Payment Advisory Commission (MEDPAC) and the hospital community to use a severity adjusted DRG system.

Introduction An Accountable Care Organization or ACO is a group of doctors, hospitals, and healthcare providers, who voluntarily come together and provide coordinated high quality medical care to Medicare patients.

As technology advances over the years, we have experienced and noticed that the trend in how payment are received have shift tremendously. Twenty years ago, check was the preferred way of payment. In today’s world, more and more payments are done by credit cards. Credit card transactions are instance that provides a faster payment method.

Prospective Payment Systems (PPS) determines the payment a medical facility will receive by evaluating preestablished criteria. The reimbursement amount will only be based on the preestablished criteria (glossary). PPS helps decrease health care spending because the health care facility knows that they will only receive a reimbursement amount

The introduction of online transaction processing and real-time customer information will speed up the billing process

Even though Happay provides a platform for its clients to load money into dedicated accounts to disburse money from those accounts to its employees, Happay is not authorized to keep companies money with it. Thus Happay partnered with RBL bank to provide escrow accounts to its clients. This made it important for the finance department of Happay to reconcile the transaction data available with RBL bank with the data available at Happay systems. For a small organization like Happay manual reconciliation of transaction data proved cumbersome and time consuming as the number of clients kept increasing. This led to the need of an automated tool that would minimize the human effort needed in such tasks.

Capitation Payment System is a financing method for managed care. Managed care gives affordable priced health care for the people buying it and the providers who agree to certain conditions.The people who buy this have a pre-established payment for health care services. If services cost less than capitation amount, profit results but if it was more than capitation amount then the provider loses money.

Explanation of Benefits (EOB): A summary statement from the payer that explains the claim, the amount that is the responsibility of the member, or the reason for non-payment.

I found an article “CMS: Over Half in Value-Based Care Program to Earn Bonuses” on the Revcycle intelligence website. The government attempts to promote the transition from volume-based purchasing to value-based purchasing for health care and receives positive feedbacks in the past few years. It brings my interest because value-based payment is a new strategy based on value instead of volume.

Paper or plastic? Debit or Credit? Marianne or Ginger? These are the decisions that keep most people awake at night. Okay, admittedly, probably not that many people are losing sleep over making these particular choices. But many doctors are currently feeling anxiety over the looming decision they’ll have to make regarding

PAYMENT SYSTEMS AND WORKING HOURS In order to attract workers and to retain the best performers, employers need to have a compensation system that will achieve these objectives. Furthermore, employers need to comply, with the relevant law which relate to payment systems and hours of work. Payment systems and quantum of payment play a significant role not only for individual employers, but also at the level of society.

Land Smuggling currency across land, although lacking in speed and the ability to reach many international destinations, is still a relatively easy way to transport cash. US customs presence tends to be less at outbound stations. Inspections tend to be infrequent as they interfere with the flow of traffic and at

If your software or application has an integrated billing solution then you 'll also need a payment gateway. Which is an online payment processing solution that allows you to link the client 's payment account with their application or software account. Allowing the client 's credit account details to be

Also different banks employ different banking applications software to gain competitive edge and introduced various electronic products. The challenge here is that some of these ICT packages are not compatible or were not properly understood before been introduced and banks have already incurred huge costs in the acquisition of these technologies