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Medicare-Medicaid Prospective Payment Systems for Post-acute Care (PAC)

In this Discussion, review the following concepts pertaining to Medicare-Medicaid prospective payment systems for post-acute care (PAC): Post-acute care (PAC) provides patients with healthcare services for their recuperation and rehabilitation after an illness or injury.

  1. Name the three dimensions of case mix measured using data elements from OASIS for the home health prospective payment system and provide detail explanation for each.
  2. Explain how the utilization review process supports the payment system.

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