Unsecured Payment Rate For Hospitals
Description
How to fill out Unsecured Installment Payment Promissory Note For Fixed Rate?
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FAQ
The final rule for the hospital outpatient prospective payment system sets forth payment rates and policies for outpatient services. It ensures that hospitals receive appropriate compensation for various outpatient services, contributing to financial stability. Understanding this rule is essential for hospitals attempting to manage their unsecured payment rate effectively.
In computing the wage index, we derive an average hourly wage for each labor market area (total wage costs divided by total hours for all hospitals in the geographic area) and a national average hourly wage (total wage costs divided by total hours for all hospitals in the nation).
DRG Payment Factors To arrive at a basic price for a given service for a particular patient, each Medicare patient discharged by a PPS hospital is first assigned to a DRG that has a corresponding DRG weight. The DRG weight is multiplied by the hospital's payment rate per case.
The wage-adjusted standard rate is determined as follows: If operating wage index >1.0, wage-adjusted rate = labor-related national standard operating rate x (labor-related share x operating wage index + nonlabor-related share).
The base payment rate is divided into a labor-related and nonlabor share. The labor-related share is adjusted by the wage index applicable to the area where the hospital is located, and if the hospital is located in Alaska or Hawaii, the nonlabor share is adjusted by a cost of living adjustment factor.
A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service (for example, diagnosis-related groups for inpatient hospital services).