Prospective Payment System:

Terms Related to Prospective Payment System

• DRG Outlier

  In health care reimbursement, especially in the prospective payment system, those patients who require an unusually long hospital stay or whose stay generates unusually high ...

• Prospective Payment Assessment Commission

  The commission charged with evaluating issues and factors which affect the implementation of the PROSPECTIVE PAYMENT SYSTEM.

• Reimbursement Mechanism

  Processes or methods of reimbursement for services rendered or equipment.

• Financial Risk Sharing

  Any system which allows payors to share some of the financial risk associated with a particular patient population with providers. Providers agree to adhere to ...

• Disproportionate Reimbursement

  Payments that include adjustments to reflect the costs of uncompensated care and higher costs for inpatient care for certain populations receiving mandated services. MEDICARE and ...