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Prospective Payment Systems (PPS)

A Medicare payment plan including pre-determined payment rates based on a patient's diagnosis or level of resource utilization. All Medicare providers are reimbursed under this plan through either a scheduled fee or prospective payment system.

Medicaid Integrity Institute (MII)

A national Medicaid program integrity training center for States, established by the Centers for Medicare & Medicaid Services in collaboration with the U.S. Department of…