Discuss the prospective payment system under diagnosis

Reference no: EM133387621

Assignment:

1. The Federal government pays for (inpatient) hospital services using a Prospective Payment System (PPS). Under the PPS, what part of the billing process is agreed to in advance? Who sets the terms of this contract?

2. Discuss the prospective payment system under Diagnosis Related Groups (DRGs). What criteria are used to determine payment under the DRG system?

Answer the Questions above in two or three paragraphs. Write the references in APA 7 with in text citation to support your answer.

Reference no: EM133387621

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