The Home Health Prospective Payment System (HH PPS) reimburses home health agencies at a __________ rate for health care services provided to patients.
a. fee-based
b. predetermined
c. retrospective
d. usual and customary
Question 2
The Skilled Nursing Facility Prospective Payment System (SNF PPS) was implemented to cover all costs (routine, ancillary, and capital) related to services furnished to Medicare Part A beneficiaries. SNF PPS generates per diem payments for each admission. These payments are case-mix adjusted using a resident classification system called __________.
a. diagnosis-related groups
b. minimum data set
c. outcomes and assessment information set
d. resource utilization groups