prospective payment


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Related to prospective payment: capitation

payment

 [pa´ment]
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.
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References in periodicals archive ?
The Medicare system introduced prospective payment in 1984, and many studies have explored the consequences of its adoption.
Prospective payment in commercial health insurance
The Skilled Nursing Facility Prospective Payment System, implemented in 1998, shifted payment from a cost-based system with limits for routine operating costs to a per diem payment based on a patient's "resource use group" (RUG) defined by the types and amount of medical services required (e.
Medicare payment reform and provider entry and exit in the post-acute care market
The author reviews the origins of the prospective payment legislation and then describes the methods used to calculate prospective payments.
Medicare's New Hospital Payment System: Is It Working?
One possibility would be that when prospective payment was implemented there would be no case-mix increase among Medicaid patients.
Medicaid prospective payment: case-mix increase
The next important acronym in health care may be AVGs (Ambulatory Visit Groups), a prospective payment system for outpatient care.
Coming: prospective payment system for outpatient care
Here is your chance to get an in-depth analysis of the Medicare Inpatient Prospective Payment System Fiscal Year 2011 hospital reimbursement final regulations.
Research and Markets: Reimbursement Briefing: New FY2011 Medicare Inpatient Prospective Payment Systems (IPPS) Final Rule What Your Hospital Needs to Know
Between 1997 and 2002, Medicare introduced an interim payment system for HHAs (1997) and prospective payment for SNFs (1998), HHAs (2000), and IRFs (2002).
Effects of payment changes on trends in post-acute care
Including Medicare, with prospective payment of both inpatient and outpatient services, would, once and for all, settle the long-standing argument between proponents of the single-payer versus competitive approaches to health care cost containment.
What will future historians say about the Clinton health reform act
Often, these workshops have ominous titles like "Dealing with the revolution in health care," or "How to survive under a prospective payment system.
Are your ready for a revolution?
Present components of the Prospective Payment Systems (PPS) for SNFs.
Research and Markets: The Latest Information on Prospective Payment System Basics in New Report
IEHP intends to release a Request for Proposal for prospective payment software or services.
Medi-Cal & Medicare Claim Pricing Solution
The single most significant event in the last five years that has influenced how rehab is delivered and reimbursed is the Medicare prospective payment system (PPS).
Welcome to Rehab Perspectives!

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