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| − | How would you [http://www.mybenefitsagent.com employee benefits]
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| − | find folks
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| − | United states
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| − | Sickness Money
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| − | (Payers) to cover your
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| − | current device - quick?
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| − | You intend on getting
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| − | your merchandise
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| − | accepted
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| − | throughout America and
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| − | total the CE level
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| − | course of action
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| − | reasonably
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| − | speedily. You
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| − | realize USA
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| − | gifts the most
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| − | significant marketplace regarding
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| − | medical items within America and you do have a couple of National
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| − | doctors
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| − | thinking about with your
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| − | merchandise.
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| − | Nevertheless, how would you find men
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| − | and women American
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| − | Illness Cash
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| − | (Payers) to cover it -
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| − | quickly?
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| − | The following is a single possible,
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| − | more advanced
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| − | mechanism, created to function as
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| − | gateway for
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| − | delivering
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| − | revolutionary medical merchandise
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| − | directly into the American Inpatient reimbursement
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| − | program.
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| − | 1. The Difficulty
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| − | Just like with the US
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| − | acute proper care
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| − | medical center inpatient
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| − | stays are
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| − | generally credited
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| − | based on Medicare health insurance insurance
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| − | Seriousness
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| − | Diagnosis
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| − | Linked
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| − | Teams (MS-DRGs),
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| − | within USA these
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| − | are refunded
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| − | based on U . s . Prognosis Related
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| − | Groups (G-DRGs).
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| − | Throughout the a couple of
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| − | situations, but if your brand new
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| − | device will not go with the present DRG, the
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| − | hospital may well not obtain looked after utilizing it and therefore may
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| − | not require to
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| − | use it. On the additional
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| − | palms, creating a completely new DRG rule pertaining to the
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| − | gadget (within the US or
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| − | perhaps in USA)
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| − | requires information
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| − | choice of
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| − | treatment
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| − | utilization. Contemplate your
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| − | current device doesn’t at
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| − | present squeeze into
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| − | any present DRG, private hospitals tend to be
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| − | unwilling to use it, and therefore it won't ever
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| − | achieve ample
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| − | use to be able to guarantee the improvement of
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| − | a completely new DRG
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| − | rule.
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| − | May seem like any
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| − | Catch-22, appropriate?
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| − | In order to
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| − | promote
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| − | entry regarding current and
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| − | revolutionary
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| − | engineering straight into the United states
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| − | well being care
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| − | technique, generally there is the brief-term,
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| − | intermediate reimbursement
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| − | device that gives hospitals using the essential
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| − | economic motivation to utilize a new
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| − | gadget, just before it
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| − | is correctly
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| − | credited
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| − | under the G-DRG
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| − | system.
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| − | However, it seems as though nearly all US
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| − | medical system details
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| − | work unaware of the device that
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| − | could cut short
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| − | their particular time-to-market and
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| − | even enhance
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| − | their odds of
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| − | getting one
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| − | more G-DRG rule
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| − | inside the upcoming.
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| − | Within the next portion I'll offer a
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| − | short
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| − | description involving the National G-DRG system, and after
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| − | that talk about the NUB
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| − | device.
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| − | two. United states G-DRG
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| − | Program
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| − | The U . s . DRG
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| − | system, or even
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| − | G-DRG method,
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| − | teams several variables, as an example: the patient’s
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| − | major and sub
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| − | analysis
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| − | (making use of ICD-10
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| − | analysis
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| − | requirements), accomplished
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| − | approaches (making
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| − | use of Surgical
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| − | procedures treatment
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| − | codes) along with extra
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| − | qualities which includes the
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| − | individual's get older, issues and
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| − | co-morbidities in a
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| − | single G-DRG code
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| − | and assigns every single
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| − | signal with the cost (with
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| − | different
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| − | changes that
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| − | are out-of-doors the opportunity want to
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| − | know ,).
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| − | The G-DRG program is a
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| − | 'leaning system', dependent on quantitative
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| − | information presented to the Company with regard
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| − | to the Medical
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| − | center
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| − | Repayment
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| − | Program (IneK) by
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| − | simply the ~250 credit reporting
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| − | hostipal wards
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| − | throughout the year. The data
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| − | obtained during 2010 is made use of within the
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| − | 2012 directory.
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| − | 3. NUB Reimbursement
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| − | Write-up six.2 of the Hospital Remuneration
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| − | Legislation (KHEntgG)
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| − | allows nursing homes to be able
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| − | to publish requirements regarding
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| − | reimbursement associated with "new and
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| − | modern
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| − | analysis and
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| − | treatment [http://www.mybenefitsagent.com heatlh insurance]" that
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| − | didn't get hold of a G-DRG signal
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| − | however.
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| − | It must be
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| − | anxious which
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| − | the system manufacturer is not the 1
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| − | using regarding NUB reimbursement. Mediclever
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| − | usually
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| − | assists the manufacturer
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| − | in
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| − | preparing the
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| − | software and after that each
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| − | related hospital will become a copy and gives in it on its very own.
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| − | three.1 Required
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| − | Requirements
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| − | The NUB reimbursement ask need
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| − | to meet the
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| − | following
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| − | requirements:
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| − | 1 . The fresh and
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| − | modern
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| − | technique influences many
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| − | existing G-DRGs.
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| − | 1 . The fresh and
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| − | modern
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| − | strategy might be plainly
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| − | defined.
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| − | - The cost of employing
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| − | this particular brand-new and modern
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| − | technique influences the expense framework
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| − | associated with the
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| − | related
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| − | treatment plus the total expense construction
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| − | regarding the healthcare facility.
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| − | - The seeking hospital's
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| − | monetary scenario could
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| − | be a whole lot
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| − | worse when the
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| − | ask is rejected.
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| − | three.2 The Application
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| − | Any kind of medical
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| − | center,
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| − | pondering about
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| − | putting up the
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| − | obtain NUB reimbursement, should finish a ask for
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| − | variety, that is delivered electronically
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| − | from the InEK web site (planet broad
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| − | web.g-drg.p). The application
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| − | must be
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| − | published through
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| − | March 31st and
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| − | supply specifics of the exchanged
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| − | (old) strategy,
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| − | day of
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| − | 1st utilizing the fresh
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| − | technique, quantity of people
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| − | treated and
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| − | expected amount of patients
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| − | which will be
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| − | dealt with
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| − | dependent on this
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| − | particular brand-new
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| − | and progressive
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| − | strategy. Additionally, a price
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| − | examination
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| − | analyzing involving the old and
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| − | brand-new
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| − | tactics ought to be additional.
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| − | InEK examinations just
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| − | about all submitted
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| − | applications and
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| − | responses with some thing involving 1 to be able to 4 for every program
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| − | simply by The thirty day period of
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| − | the month of january 15th.
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| − | 1 . Value 1:
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| − | - The innovative
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| − | strategy refers
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| − | using the requires and is gonna be paid
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| − | back.
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| − | - Normally, InEK will not use a
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| − | countrywide data
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| − | source that enables a
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| − | consistent reimbursement
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| − | charge, consequently each clinic and local GKV
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| − | pay out committee
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| − | will certainly work out
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| − | the reimbursement price.
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| − | - InEK can even check if the
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| − | progressive
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| − | approach could possibly
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| − | be revised straight into the G-DRG
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| − | construction
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| − | - Worth 2:
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| − | - The progressive
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| − | technique does not
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| − | overlap with all the
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| − | requirements.
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| − | - The healthcare facility is
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| − | not really permitted negotiate reimbursement with
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| − | virtually any
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| − | Disease Finance.
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| − | * Worth 3:
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| − | - InEK is overloaded and can
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| − | not response the
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| − | put up
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| − | software till the deadline
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| − | of January 31st.
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| − | - The medical center
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| − | may well discuss NUB reimbursement with serious
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| − | Sickness Resources
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| − | * Worth 4:
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| − | - The request had not
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| − | been clear or even didn't
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| − | explain
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| − | clearly the reason why NUB reimbursement is
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| − | required.
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| − | - The medical center
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| − | may make a
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| − | deal NUB reimbursement with fascinated
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| − | Health issues Resources.
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| − | three.three Rewards and Negatives
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| − | 1 . Benefits:
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| − | - Acquiring NUB reimbursement requires a
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| − | fairly compact period of time. This can lead to immediate
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| − | surge in
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| − | process and gross sales.
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| − | - You will certainly locate no risks in enabling the denial and a bad response is not going
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| − | to affect
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| − | likelihood of
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| − | getting yet another reimbursement procedure
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| − | within the upcoming.
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| − | * Negatives:
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| − | - NUB reimbursement merely is
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| − | relevant to publishing
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| − | nursing homes and
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| − | calls for bilateral
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| − | chats among each and every healthcare facility and the
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| − | local Disease
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| − | Resources.
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| − | - Each and every arrangement is
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| − | simply good for starters calendar
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| − | year, however might be renewed, relatively
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| − | simple, except
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| − | if it features
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| − | explore the G-DRG
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| − | method.
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| − | In a very recent
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| − | research carried out by the Commence
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| − | involving Well being Monetary
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| − | elements (IFG), it was suggested
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| − | that hospital
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| − | distribution is destined to be
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| − | accessible all
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| − | through the 12 months and
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| − | progressive
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| − | techniques that received something 1 respond will
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| − | certainly instantly end
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| − | up being paid back
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| − | until
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| − | incorporated
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| − | throughout G-DRG and influence most
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| − | relevant nursing homes.
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| − | three.four Statistics
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| − | For 2010, from 13,865
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| − | calls for with regard
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| − | to 546 brand new
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| − | methods, 7,Four hundred and
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| − | eighty (symbolizing
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| − | 87 brand-new
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| − | methods) had been designated with
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| − | Price 1, six,005 (symbolizing 444 brand-new
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| − | strategies) had been designated with
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| − | Benefit 2, it's
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| − | unlikely that any with Worth three and 245
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| − | (symbolizing 11 brand
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| − | new techniques)
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| − | had been
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| − | specified with
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| − | Price 4. (Source:
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| − | InEK).
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| − | four. Overview
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| − | The American wellness
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| − | proper care
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| − | method is looking to deal together with the built-in
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| − | setbacks of integrating
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| − | revolutionary
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| − | diagnostic and
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| − | healing treatments directly into the technique.
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| − | A lot like the United
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| − | states NUBs, comparable
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| − | reimbursement systems can be found in
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| − | the UK and in a few areas
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| − | of France. Utilizing
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| − | these systems can assist US
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| − | businesses
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| − | obtain reimbursement
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| − | throughout America more rapidly, carry their goods in order to industry faster and improve
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| − | their chance of obtaining
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| − | a certain DRG
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| − | rule in a
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| − | afterwards phase. [http://www.mybenefitsagent.com heatlh insurance]
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