Prospective Payment System. Under Medicare, payments to hospitals for inpatient services are prospectively determined amounts based on the DRG assigned at discharge.
Prospective Payment System. A predetermined set of formulas for making flat-rate Medicare payments to acute care hospitals and skilled nursing homes.
PERSONAL PENSION SCHEME. A scheme approved by the Inland Revenue under Chapter IV which is not an occupational pension scheme. A personal pension scheme can be registered with Opra as a stakeholder pension scheme if the necessary conditions are met.
See Prospective Payment System.
Prospective Payment System. (see also Full Capitation, Partial Capitation, Per Capita Payment): Any payment system in which the amount to be paid to the provider is set before services are delivered, generally for the coming year. That amount is paid regardless of the number of enrollees served or the amount of services delivered.
Prospective Payment System. Medicare's acute care payment method for inpatient care. Prospective payment rates are set at a level intended to cover operating costs for treating a typical inpatient in a given diagnosis-related group. Payments for each hospital are adjusted for differences in area wages, teaching activity, care to the poor, and other factors. Hospitals may also receive additional payments to cover extra costs associated with atypical patients (outliers) in each DRG. Capital costs, originally excluded from PPS, are being phased into the system.
PROSPECTIVE PAYMENT SYSTEM. The method used by Medicare to pay for inpatient hospital services and skilled nursing facility care, in which payment rates are determined before services are rendered, and not based on actual costs or charges of a specific facility. Rates are intended to cover treatment costs for a typical inpatient with a given diagnosis and are adjusted for the hospital's wages, teaching activity, indigent care, and other factors. PPS payment methods have also been developed for rehabilitation hospitals, home health agencies, and, possibly, long-term care hospitals.
Prospective Payment System. A federally mandated method ofpaying hospitals for Medicare recipients' services. (See DRGs above).
Prospective Payment System. A system under which hospitals are paid fixed amounts based upon the principal diagnosis for each Medicare patient's hospital stay.
Prospective Payment System. Method of payment under Medicare for skilled nursing facilities.
Parenting Payment (Single)
Prospective Payment System. A Medicare system that pays hospitals a set amount for covered diagnostic or treatment services.
Personal pension Scheme. This is a scheme run by a private company for one person. It can be for someone who is self-employed, or an employed person who is not in an occupational pension scheme . Somebody who is part of an occupational pension scheme that only pays death in service benefit (which means there is no pension paid) can also join a personal pension scheme.
Prospective Payment System. A payment system in which the payment rate is established in advance of the provision of services and is not altered based on the actual costs incurred by the provider.
Prospective Payment System. The federal Medicare program bases its per day payment rates to skilled nursing facilities (SNFs) on this payment system, that was mandated by the Balanced Budget Act of 1997. The rates are adjusted according to the patients' conditions and needs and geographic variation in wages. The purpose of the system is to account for the costs of essential services to patients. (SEE also Resource Utilization Groups)
Prospective Payment System. Method by which skilled nursing facilities are paid by Medicare.
Prospective Payment System. Federally mandated method intended to control Medicare costs under which Medicare pays a fixed reimbursement to hospitals based on the individual's diagnosis rather than on the actual cost of treatment. Costs are determined in advance-prospectively-rather than after the fact or retrospectively. Implemented by classifying patients into diagnostic related groups (DRGs) that dictate the amount Medicare pays for treatment.
See Protected Payment System.
Physical Protection System. A physical security system that provides the capability to detect, delay, and respond to adversarial acts, including attempts at theft and sabotage. Recent physical protection enhancements have often included delay barriers, entry control systems, an alarm assessment system, and an enhanced communications system. Physical protection also involves restricting and delaying movements around and within critical areas. The Sandia Model for a Physical Protection System includes three key elements: detection, delay, and interdiction by the response force.
Prospective Payment System. A payment method that establishes rates, prices or budgets before services are rendered and costs are incurred. Providers retain or absorb at least a portion of the difference between established revenues and actual costs.