Medicare Payment System ProvisionsProspective payment system rates are based on national “average” cost figures. Taking the national average cost into consideration, CMS sets base rates for each payme

Medicare Payment System Provisions Prospective payment system rates are based on national “average” cost figures. Taking the national average cost into consideration, CMS sets base rates for each payment system. The payment systems then add provisions or adjustments to the system to account for situations where the cost of an individual encounter or service may […]