The Prospective Payment System of CMS consists of thirteen schedules that allow the calculation of
payment for a patient encounter. The DRG or price-based system covers inpatient charges from one of
these schedules.
Tasks:
Describe the schedules of CMS.
Provide an example of a charge for each schedule.
Describe the case mix concept that alters payment rates.
Describe the diagnosis related group payment system.
Submission Details:
To support your work, use your course and textbook readings and also use the South University Online
Library. As in all assignments, cite your sources in your work and provide references for the citations in APA
format.
Sample Solution