Actual 2025/2026 CCA Exam Prep 100+ Questions Solved Correct 100% Graded A+

Actual 2025/2026 CCA Exam Prep 100+ Questions Solved Correct 100% Graded A+ PPS - Prospective Payment System What is prospective payment system? - Payment for all care delivered during an episode of care based on pre-determined fixed amount (DRGs). Influenced by care setting. What are the 4 types of Prospective Payment Systems? - Capitation, global payment method, case-rate methodology, and bundled payment. Capitation - System of payment used by managed care plans in which physicians and hospitals are paid a fixed, per capita amount for each patient enrolled over a stated period regardless of the type and number of services provided; reimbursement to the hospital on a per-member/per-month basis to cover costs for the members of the plan. (PMPM) Global Payment Method - Third-party payer makes one combined payment to cover the services of multiple providers who are treating a single episode of care. Case-Rate Method - Reimburses provider for all services provided during entire