Difference between revisions of "Inpatient prospective payment system"
From Healthcarepedia
m (→Notes) |
m |
||
| Line 2: | Line 2: | ||
The Inpatient Prospective Payment System is a system of payment or [[reimbursement]] for the operating costs of acute care hospital inpatient stays under [[Medicare Part A]] (Hospital Insurance) based on prospectively set rates. The system was set for in Section 1886(d) of the [[Social Security Act]]. Under the IPPS, each case is categorized into a [[diagnosis-related group]] (DRG). Each DRG has a payment weight assigned to it, based on the average resources used to treat Medicare patients in that DRG. <ref>Acute Inpatient PPS, CMS.gov (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html) </ref> | The Inpatient Prospective Payment System is a system of payment or [[reimbursement]] for the operating costs of acute care hospital inpatient stays under [[Medicare Part A]] (Hospital Insurance) based on prospectively set rates. The system was set for in Section 1886(d) of the [[Social Security Act]]. Under the IPPS, each case is categorized into a [[diagnosis-related group]] (DRG). Each DRG has a payment weight assigned to it, based on the average resources used to treat Medicare patients in that DRG. <ref>Acute Inpatient PPS, CMS.gov (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html) </ref> | ||
| − | |||
| − | |||
Revision as of 21:56, 8 February 2017
What is the inpatient prospective payment system (IPPS)?
The Inpatient Prospective Payment System is a system of payment or reimbursement for the operating costs of acute care hospital inpatient stays under Medicare Part A (Hospital Insurance) based on prospectively set rates. The system was set for in Section 1886(d) of the Social Security Act. Under the IPPS, each case is categorized into a diagnosis-related group (DRG). Each DRG has a payment weight assigned to it, based on the average resources used to treat Medicare patients in that DRG. [1]- ↑ Acute Inpatient PPS, CMS.gov (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html)
