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There are various prospective payment systems for outpatient, home health, physician and nonphysician practitioners, and ambulatory surgical settings.

There are various prospective payment systems for outpatient, home health, physician and nonphysician practitioners, and ambulatory surgical settings.

Instructions:

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Identify two unique prospective payment systems and describe the facility types each of your selected systems are used for.

How are the unique differences in your two identified systems utilized in reimbursement? Provide an example to support your answer.

Why are all payment systems not the same? Provide an example to support your answer.

Solution Preview


Prospective payment system is described as payment system to determine insurance reimbursement based on pre-determine payment for actual service provided..PPS used by basically from health care providers and third-party payers..It has many variations…


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