In a prospective payment system (pps), the amount of reimbursement for healthcare services is ?

1 answer:

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In a prospective payment system (PPS), the amount of reimbursement for healthcare services is Predetermined usage of diagnosis related group methodology.

The Palliative Performance Scale (PPS) can inform decisions about a patient's hospice eligibility by helping clinicians recognize a patient's functional decline.

DRG relates a hospital's case with the resource demands and related charges/expenses experienced by the hospital. It is there for inpatient hospital services. This system assigns the payment levels to each DRG base on the average cost of treating all care beneficiaries.

It is so because a diagnostic related grouping (DRG), tells/shows how medicare and few health insurance companies categorize hospitalization charges and determine how much to pay for a patient's hospital stay.

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