IPPS pays inpatient hospital services on a prospective basis, OPPS pays outpatient hospital services using a prospective payment system, MPFS determines payments for physician services, and DMEPOS pays durable medical equipment using fee schedules. IPPS pays hospitals per discharge, OPPS pays hospitals a predetermined amount per service, MPFS pays physicians based on a fee schedule, and DMEPOS pays suppliers based on fee schedules. For a small hospital, having patients that require inpatient, outpatient, physician and DME services could impact its revenues if the payments received do not adequately cover the costs of care for those varying services.