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15 Νοε 2017 · A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service (for example, diagnosis-related groups for inpatient hospital services).
- HIPPS Codes
This web page contains information related to the use and...
- Provider Specific Data for Public Use in Text Format
Provider specific text file for inpatient, skilled nursing,...
- Provider Specific Data for Public Use in SAS Format
Provider specific SAS file for inpatient, skilled nursing,...
- Acute Inpatient PPS
On January 30, 2023, the Biden Administration announced its...
- Ambulatory Surgical Center (ASC) Payment
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OverviewSection 10501 of the Patient Protection and...
- Home Health PPS
The BBA of 1997 put in place the interim payment system...
- HIPPS Codes
6 Νοε 2017 · Provider payment systems shape providers’ decisions by creating incentives capable of influencing the actions of organizations and individuals in a health system. These actions have direct implications for both the quantity and quality of healthcare delivered (Roberts et al. 2008).
1 Ιαν 2018 · The reform of provider payment systems, from retrospective to prospective payment, has been heralded as the right move to contain costs in the light of rising health expenditures in many countries. However, there are concerns on quality trade-off.
A PPS is a method of reimbursement in which Medicare makes payments based on a predetermined, fixed amount. The payment amount is based on a classification system designed for each setting.
31 Ιαν 2018 · A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the ification system of that service (for example, diagnosis-related groups for inpatient hospital services).
Some common characteristics of Medicare PPS are: Prepayment amounts cover defined periods (per diem, per stay, or 60-day episodes). The payment amount is based on a unique assessment classification of each patient. Applies only to Part A inpatients (except for HMOs and home health agencies).
This article describes some of the available evidence on the impact of the Medicare prospective payment system (PPS) for hospitals during its first year, on hospitals, other payers for inpatient hospital services, other providers of health care, and Medicare beneficiaries.
