Medicare is a federal health insurance program in the united states for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis (als or lou gehrig's disease) This provides a basis for describing the types of patients a hospital or other health care provider treats (its case mix) It started in 1965 under the social security administration and is now administered by the centers for medicare and medicaid services (cms)
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The pps was established by the centers for medicare and medicaid services (cms), as a result of the social security amendments act of 1983, specifically to address expensive hospital care
Regardless of services provided, payment was of an established fee
The idea was to encourage hospitals to lower their prices for expensive hospital care. The acronym hcpcs originally stood for hcfa common procedure coding system, a medical billing process used by the centers for medicare and medicaid services (cms) Prior to 2001, cms was known as the health care financing administration (hcfa) Hcpcs was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health.
Health care finance in the united stateshealth care finance in the united states discusses how americans obtain and pay for their healthcare, and why u.s Healthcare costs are the highest in the world based on various measures It is possible to negotiate the price of the medical bills with the hospital billing department. ^ medicare hospital prospective payment system
How drg rates are calculated and updated (pdf)
Us department of health and human services, office of inspector general.
