A compensation technique known as a Prospective Payment System (PPS) or PPS pricer bases Medicare payments on a predetermined, fixed sum. The payment amount is determined based on the service's classification scheme. Acute inpatient hospitals, hospices, home health agencies, inpatient psychiatric facilities, hospital outpatients, inpatient rehabilitation facilities, long-term care hospitals, and skilled nursing facilities are all reimbursed by CMS using different PPSs.

What Kinds of Changes have the Implementation of PPS brought within the Medical Industry?

Major changes have been brought about in the hospital sector and in how doctors and their patients use hospital services as a result of the implementation of the prospective payment system (PPS). Numerous scholars and policy experts have discussed the effects of PPS and offered their opinions on the fundamental ideas of health care reform that PPS represents.

Reducing the pace of growth in Medicare inpatient payments and the inflation of hospital costs overall are the main goals of PPS. An amalgamation of the PPS program's main components was anticipated to accomplish these objectives:

1. By imposing stricter financial requirements on higher-cost hospitals under a programme that managed the rate of payment amount growth and gradually moved hospitals from their historically incurred costs to national averages.

2. PPS creates a clear connection between hospital payments and medical records coding, giving hospitals a new incentive to create more thorough records and coding to maximise payment.

3. Along with increasing outpatient treatment, PPS is anticipated to boost demand for nursing homes and home health providers' post-hospital services.

Are you at least 65 years old but not yet eligible to begin receiving monthly Social Security benefits? If so, are you within three months of reaching that age? Visit the website of CMS Pricer to know about CMS Medicare online and more about the services.

For more information visit : https://cmspricer.com/