PPS(Prospective Payment System) is basically a method of reimbursement process in which Medicare payment is made based on predetermined and fixed amounts. The PPS system was established specifically for hospital inpatient services provided to Medicare beneficiaries. Well, under this PPS system, a hospital is paid a fixed amount for each type of treatment in the DRG category. This is very advantageous for the patients who get admitted to hospitals or private nursing homes. No doubt, the PPS pricer system plays a crucial role in controlling ever-increasing healthcare costs. It is Built on a methodology that plays a vital role in shaping providers’ incentive, and in health policy-making by expanding health coverage to wider populations.

The Purpose of PPS systems:

PPS is aimed at delivering patient care effectively without utilizing services. The chief purpose of PPS is to make the healthcare facilities responsible to provide the utmost care to the patients. It emphasizes the fact that there is a built-in incentive for providers to create management patterns for patients with proper diagnosis and treatment without wasting any time.

Chief Advantage of PPS system:

Here, the payment amounts cover defined periods (per diem, per stay, or 60-day episodes)
The Payment amount is actually calculated based on a unique assessment classification of each patient
PPS basically applies to an inpatient facility
It effectively reduces the tendency of expensive and unnecessary drug and diagnostic procedures

Using a SaaS-based advanced tool will help the healthcare insurance providers to get all the valid updates and information of CMS policies and news. But before you use any tool, make sure you do your primary research about it. You should use a reliable PPS pricer tool that is available 24/7 and easily accessible from any device remotely. Make sure the tool has cloud-based technology that keeps data safe and protected. This way the users will get the chance to check different PPS policies and choose the best healthcare policy for the enrollees.