The document discusses the Medicare Prospective Payment System (PPS), which is a method of reimbursement where Medicare payment is made based on a predetermined, fixed amount for designated hospital outpatient services and certain Medicare services for patients without coverage. The PPS facilitates healthcare pricing by adding new drugs, devices, and procedures; updating payment rates for medicines based on sales price data; and providing a tool to estimate prospective payments to help patients understand pricing and feel satisfied with costs.

1. A Tool Used to Estimate the Medicare Prospective Payment System

2. What is It?
It is a method of
reimbursement in
which Medicare
payment is made
based on a
predetermined,
fixed amount.

3. Services
Designated hospital
outpatient services
Certain Medicare services for
the patient who do not have
coverage
Partial hospitalization services
furnished by hospitals

4. How It Facilitates?
By adding new pass-through drugs or devices and new
services and procedures to clinical
Updating payment rates for separately payable medicines
based on the most recent average sales price data

5. Summary
Don’t be confused
about the amount that
you have to pay for
your healthcare
service. Just get the
help from the Medicare
pricing system and
ensure the mental
satisfaction about your
pricing.

6. Web Address:
cmspricer.com
Phone No.:
(469)629-6162
Email : info@CMSPricer.com
/ support@CMSPricer.com
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