The Prospective Payment System of CMS consists of thirteen

Question # 00839631 Posted By: wildcraft Updated on: 03/16/2023 01:03 AM Due on: 03/16/2023
Subject Business Topic General Business Tutorials:
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Introduction:

The Prospective Payment System of CMS consists of thirteen schedules that allow the calculation of payment for a patient encounter. The DRG or price-based system covers inpatient charges from one of these schedules.

Tasks:

  • Describe the schedules of CMS.
  • Provide an example of a charge for each schedule.
  • Describe the case mix concept that alters payment rates.
  • Describe the diagnosis related group payment system.
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