Term
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Definition
| Balanced Budget Act of 1997 |
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Term
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Definition
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Term
| What did the Balanced Budget Act of 1997 (BBA) do? |
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Definition
| Required the CMS to move from a cost-based reimbursement to an outpatient prospective payment system (OPPS) |
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Term
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Definition
| Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) |
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Term
| What year was Medicare Prescription Drug, Improvement, and Modernization Act (MMA)? |
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Definition
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Term
| What did Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) do? |
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Definition
| Overhauled Medicare and included prescription drug coverage |
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Term
| Medicare Severity-Diagnostic Related Group (MS-DRG) |
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Definition
| The prospective payment system used by Medicare and many other payers for inpatient payments. |
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Term
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Definition
| Omnibus Budget Reconciliation Act of 1986 |
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Term
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Definition
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Term
| What did Omnibus Budget Reconciliation Act of 1986 (OBRA) do? |
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Definition
| Marked the congressional request for an outpatient prospective payment system to be developed. |
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Term
| Outpatient Prospective Payment System (OPPS) |
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Definition
| A reimbursement method in which payment is a pre-determined, fixed amount based on a classification system of that service. |
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Term
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Definition
| Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 |
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Term
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Definition
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Term
| What did Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 do? |
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Definition
| Provided for a transitional pass-through payment for innovative and generally expensive medical devices, drugs, and biologicals in OPPS |
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