The Physician Payment Review Commission (PPRC) was a non-partisan legislative branch agency established in the United States in 1986 to provide independent analysis and recommendations on issues related to Medicare payment policies for physicians and other healthcare professionals. The PPRC's primary role was to review and evaluate the impact of Medicare's payment policies on beneficiary access to care, quality of care, and overall program costs. It conducted studies, held public hearings, and issued reports with recommendations to Congress on how to improve physician payment systems within Medicare. The PPRC was later replaced by the Medicare Payment Advisory Commission (MedPAC) in 1997, which continues to carry out similar functions today.
Begrepp baserat på standardiserade avgifter för sjukvårdstjänster i det amerikanska allmänna sjukförsäkringsprogrammet Medicare.
Förfaringssätt för gottgörelse eller återbetalning för tjänster eller produkter.
Kostnader för sjukvårdstjänster som betalas av patienten.
"Relativt värde-skala" är ett begrepp inom medicinen som refererar till en jämförande skala för att bedöma styrkan av en patients subjektiva upplevelse av en viss symptom, såsom smärta eller funktionsnedsättning, i relation till en normals upplevelse eller i jämförelse med andra patients symtom.
Förteckning över priser för tjänster eller åtgärder inom vård och tandvård.
A Medicare review commission, also known as a Medicare administrative contractor or MAC, is a private health care company that has been contracted by the Centers for Medicare & Medicaid Services (CMS) to handle claims processing and payment for Medicare Part A and Part B services. The commission is responsible for reviewing claims for medical necessity, accuracy, and compliance with coverage and payment rules, and for making decisions about whether to pay or deny claims. They also provide education and support to healthcare providers to help them understand and comply with Medicare's billing and coding requirements.
En form av sjukvårdsförsäkring som innebär att vårdgivaren betalas ett fast belopp per patient, oberoende av antalet vårdbesök eller typ av vårdinsats.