Upcoming Courses › Forums › Online Home Health Billing Program › 13-Week Home Health Billing Program: 5/25/2020 – 8/21/2020 › Question #9 test 2
Question #9 test 2Posted by Maria on June 4, 2020 at 6:58 pm
#9 question really comfused me PPS pays in a fixed rate.
MemberJune 4, 2020 at 10:29 pm
PPS is Prospective Payment System. Once the OASIS is completed, a HHRG is generated. Each HHRG has a different payment amount for the 60 day episodes. There is one set amount you get paid, but part will be in a RAP ( Request for anticipated Payment) and the rest in the EOE (End of Episode).
AdministratorJune 7, 2020 at 1:46 am
PPS refers to an “episode” which is 60 days. Under PDGM, you are dealing with two 30 day “periods” of payment