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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.

Payment Error Rate Measurement (PERM)

The measure of the improper payments of Medicaid and CHIP, which results in an error rate for each program. These rates are based on multiple…