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Question #9 test 2
#9 question really comfused me PPS pays in a fixed rate.
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2 Replies
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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).
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PPS refers to an “episode” which is 60 days. Under PDGM, you are dealing with two 30 day “periods” of payment