Question

What is the reimbursement method in which payment rates for healthcare services are determined in advance

Answer 1

Answer:

Prospective Payment.

Explanation:

This is a third-party payer that is interested in looking at averages over time and paying the average cost for each patient instead of the actual cost for each patient.

Answer 2

Answer:

The method of medical payment reimbursement in healthcare services is known as Prospective Payment System.

Explanation:

In healthcare services, through the Prospective Payment System, a medical payment is reimbursed by previously determined fixed rates. The amount is decided on the basis of the type of medical services, like what services were provided to the patient.

The Centre for Medicare and Medicaid services uses different PPS for different medical services, like- inpatient hospitals, hospice, house health agencies, nursing facilities, prolonged period of treatment etc.