Prospective Payment System 
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). Provisional Rate-a temporary indirect cost rate applicable to a specified period which is used for funding, interim reimbursement and reporting indirect costs on federal awards pending the establishment of a “final rate” for that period. A) Payment system B) Prospective price-based rate C) Prospective cost-based rate D) Retrospective reasonable cost system. A) Payment system - - is a predetermined reimbursement methodology. 6.2 Utilizing the MDS in the Medicare Prospective Payment System A key component of the Medicare skilled nursing facility prospective payment system is the case mix reimbursement methodology used to determine resident care needs. A number of nursing facility case mix systems have been developed over the last 20 years. Tax Equity and Fiscal Responsibility Act 1983 - TEFRA. legislated implementation of the inpatient prospective payment system, which uses diagnosis-related groups (DRGs) to reimburse short-term hospitals a predetermined rate for Medicare inpatient services.   . Each required Medicare assessment is used to support Medicare PPS reimbursement for a predetermined maximum number of Medicare Part A days. To verify that the Medicare bill accurately reflects the assessment information, three data items derived from the MDS assessment must be included on the Medicare claim: 1. (1) CHAMPUS Diagnosis Related Group (DRG)-based payment system. Under the CHAMPUS DRG-based payment system, payment for the operating costs of inpatient hospital services furnished by hospitals subject to the system is made on the basis of prospectively-determined rates and applied on a per discharge basis using DRGs. legislated implementation of the inpatient prospective payment system, which uses diagnosis-related groups (DRGs) to reimburse short-term hospitals a predetermined rate for Medicare inpatient services.
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/index.html http://www2.ed.gov/about/offices/list/ocfo/fipao/guideigcwebsite.pdf http://www.weegy.com/?ConversationId=6B5WS6VQ http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/downloads/MDS20rai1202ch6.pdf https://quizlet.com/2272908/healthcare-reimbursement-systems-flash-cards/ http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/downloads/MDS20rai1202ch6.pdf https://www.law.cornell.edu/cfr/text/32/199.14 https://quizlet.com/2272908/healthcare-reimbursement-systems-flash-cards/
which is a predetermined reimbursement methodology