prospective payment

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Related to prospective payment: capitation


remuneration in exchange for goods or services.
prospective payment payment to a health care facility at a predetermined rate for treatment regardless of the cost of care for a specific individual patient.
third party payment payment of hospital or other health care bills by a source other than the patient; the most common sources are private or governmental insurance. Called also third party reimbursement.

pro·spec·tive pay·ment

(prŏs-pek'tiv pā'mĕnt)
Reimbursement for services made in advance or without services having yet been performed.
References in periodicals archive ?
Finally, the Inpatient Rehabilitation Facility Prospective Payment System, implemented in 2002, reimbursed inpatient rehabilitation facilities on a per discharge basis based on patients' health and functional status.
If you really want something to worry about, think what's in store for us if prospective payment doesn't work.
Richard Averill says, "3M is pleased to have the opportunity to assist HCFA in preparing for the Medicare outpatient prospective payment system.
Under the prospective payment system, each facility's variable costs are determined in a base year and trended forward using the skilled nursing facility market basket inflation forecast published by Data Resources, Inc.
The following could constitute the components of a competitive prospective payment system:
Psychiatric, rehabilitation and children's hospitals, which are excluded from the prospective payment system, will have the limit placed on their allowable costs increased by between 3.
One study found that implementation of the Medicare Prospective Payment System (PPS) was associated with a statistically significant increase in the number of quality-of-care deficiencies, but the trend reversed following the Medicare funding adjustments in the BBRA.
The home health prospective payment system, proposed by HCFA October 29, 1999, is scheduled to go into effect October 1, 2000, for all agencies, regardless of when their cost-reporting period begins.
CMS's estimate that the revised ASC rates would be 62% of the corresponding rates under the Outpatient Prospective Payment System for hospital outpatient departments;
The Medicare prospective payment system is clearly having a devastating impact on revenues and cash flow, said Robert Elkins, chairman and CEO.
In an attempt to reduce costs and raise the general standard of secondary care, governments in many countries are moving from cost-based reimbursement for services rendered to prospective payment systems, which pay providers a predetermined amount according to specific definitions.
HCFA's proposed Medicare SNF prospective payment system (PPS) increase has stirred up a less than enthusiastic response.

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