Concepedia

Prospective Payment System Coding

Prospective Payment System Coding is a systematic method of classifying outpatient healthcare services and assigning reimbursement values in advance based on predetermined rates, diagnostic categories, and service codes, distinguishing it from retrospective payment models by establishing fixed financial compensation prior to service delivery.

64

Publications

3K

Citations

187

Authors

95

Institutions

Publications per year

2017–2026

3

Variants

Pps Coding

Parents

Publications

64

Accuracy of Diagnostic Coding for Medicare Patients under the Prospective-Payment System

David C. Hsia, W. Mark Krushat, Ann B. Fagan et al. · New England Journal of Medicine · 1988 · 494 citations

, , +13

The Effects of the DRG-Based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients

Katherine L. Kahn · JAMA · 1990 · 173 citations

, , +13

Effects of the per diem prospective payment system with DRG-like grouping system (DPC/PDPS) on resource usage and healthcare quality in Japan

Hironori Hamada, Miho Sekimoto, Yuichi Imanaka · Health Policy · 2012 · 164 citations

, , +14

Medicare Reimbursement Accuracy Under the Prospective Payment System, 1985 to 1988

David C. Hsia · JAMA · 1992 · 155 citations

, , +17

The USRDS

Robert N. Foley, Allan J. Collins · Clinical Journal of the American Society of Nephrology · 2012 · 140 citations

, , +17

1–5 of 64

Authors

187

  1. DC
    David C. Hsia

    Office of Inspector General, United States

    3 publications · 685 citations

    3

    h-index

  2. KL
    Katherine L. Kahn

    RAND Corporation, United States

    3 publications · 253 citations

    3

    h-index

  3. AD
    Anne Deutsch

    Shirley Ryan AbilityLab, United States

    2 publications · 61 citations

    2

    h-index

  4. GF
    Gerard F. Anderson

    Johns Hopkins University, United States

    2 publications · 77 citations

    2

    h-index

  5. JR
    Judith R. Lave

    University of Pittsburgh, United States

    2 publications · 60 citations

    2

    h-index

1–5 of 187

Institutions

95

  1. RAND Corporation

    Santa Monica, United States

    3 h-index

    7 publications

    298 citations

  2. Office of Inspector General

    Washington, United States

    2 h-index

    6 publications

    2.6K citations

  3. Agency for Healthcare Research and Quality

    Rockville, United States

    2 h-index

    5 publications

    161 citations

  4. University of California, Los Angeles

    Los Angeles, United States

    2 h-index

    6 publications

    128 citations

  5. National Institute of Mental Health

    Bethesda, United States

    2 h-index

    2 publications

    110 citations

  6. Artistic Realization Technologies

    Princeton Meadows, United States

    1 h-index

    2 publications

    20 citations

  7. Oklahoma State University Center for Health Sciences

    Tulsa, United States

    1 h-index

    2 publications

    46 citations

  8. University of Toronto

    Toronto, Canada

    1 h-index

    1 publications

    21 citations

1–8 of 95

Venues

  1. PubMed

    Repository · 8 publications · 225 citations

    8

    h-index

  2. Health Policy

    6 publications · 307 citations

    6

    h-index

  3. JAMA

    3 publications · 364 citations

    3

    h-index

  4. New England Journal of Medicine

    NEJM · 3 publications · 637 citations

    3

    h-index

  5. 2

    h-index

1–5