An analysis of the effect of Wisconsin's inspection of care reviews on Medicaid nursing home reimbursement: a comparison of the Quality Assurance Project approach and the federally mandated approach
The Bureau, 1982 - Medical - 28 pages
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1981 Experience Administrative Costs Bureau of Quality conducting IOC reviews costs and savings Division of Health dollar of cost dollar savings Eau Claire Existing Method QAP facility failed the sample federal match Fond du Lac Green Bay high savings home reimbursement savings home's history homes passing homes reviewed homes that pass ICF-4 Rate incorrect care levels intensive review IOC process IOC team LaCrosse licensure survey matching rate Medicaid nursing home Medicaid residents method homes Method QAP Method number of residents nursing home reimbursement pass the sample percent of residents private pay residents program savings QAP sampling Quality Assurance Project Quality Compliance registered nurse reimbursement dollars reimbursement effect resident review process residents are reviewed residents misclassified ResidentsA Review Resident Reviewing private pay sampling plan savings or cost Savings Per Day savings per review scenario social worker statewide surveyor Table total funds unrealized savings WHCRI Wisconsin Wisconsin Rapids