The correct answer is; Prospective payment system.
Further Explanation:
The prospective payment system was implemented by the Medicare program to pay hospitals a flat fee for certain services performed. The coding process is very important to this service so that the payment is made for the fixed price. The codes that are primarily used are;
Ambulatory Payment Classification for all outpatient claims
Current Procedural Terminology for any other outpatient claims
Diagnosis-related groups for all impatient claims
The program was made so that hospitals would lower prices for the patients but the prices have kept rising over the years. In 2000, there was a new change in the law and this gave patients a fixed fee for going to an approved outpatient care faculty such as urgent care clinics. The clinics that are used must be part of the Federally Qualified Health Centers.
