This page has general description about a prospective payment systems pps see the related links for more specific information about pps for acute inpatient hospitals skilled nursing facilities hospital outpatient home health agencies long term care hospitals inpatient rehabilitation facilities and inpatient psychiatric facilities. Access guidance and requirements for the prospective payment system pps for certified community behavioral health clinics ccbhcs. A prospective payment system is a system where the insurance company bases the amount that they pay on a pre determined set of costs depending on the class. Prospective payment system a healthcare payment system used by the federal government since 1983 for reimbursing healthcare providers agencies for medical care provided to medicare and medicaid participants. While prospective payment systems come with unique challenges for medicare providers bkd can help you get paid appropriately for the services you provide
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