Prospective Payment System (PPS) Data
PPS is a system of Medicare reimbursement for Part A benefits which bases most hospital payments on the patient's diagnosis at the time of hospital admission. PPS data was created by the Centers for Medicare & Medicaid Services' (CMS).
"The Inpatient Minimum Datasets contain cost, statistical, financial, and other information from the Medicare Hospital Cost Report. The datasets include only the most current cost report (as submitted, final settled, or reopened) submitted for a Medicare-certified hospital by the Medicare fiscal intermediary to HCFA. These datasets are updated at the end of each calendar quarter and are available on the last day of the following month."
"The Capital Datasets contain selected data for capital-related costs, interest expense and related information, and complete balance sheet data from the Medicare Hospital Cost Report."
"The Outpatient Datasets contain Part B Medicare cost and charges by cost center from the Medicare Hospital Cost Report."
Quotes are from "Data Users Reference Guide". U.S. Department of Health and Human Services, Health Care Financing Administration, Bureau of Data Management and Strategy. September 1995.
Prospective Payment System (PPS)
This 1982 act defines the primary and secondary coverage responsibilities of the Medicare program and also the provisions to be used by health plans in their contracts with the HCFA (Health Care Financing Administration).
Send questions to Jean Roth.