PPS Rate/Adjustment Factors - PM

Define the Prospective Payment System (PPS) adjustment factors to calculate the federal per-diem base rate.

myAvatar PM > System Maintenance > System Definition > PPS Rate/Adjustment Factors

Prerequisites:

• The Enable PPS Billing registry setting must be set to 'Y'.

1. Enter the Effective Date and Expiration Date for the PPS rate/adjustment factor definitions.

2. Click the Default Information From Previous Effective Date button to retrieve all PPS information from the previously entered effective date and populate the appropriate fields with that information.

3. Click the Delete PPS Rate/Adjustment Factors button to delete a PPS rate/adjustment factor definition for a particular effective date that was entered in error.

• A dialog box asks to confirm the PPS Rate/Adjustment deletion. Click Yes to delete the PPS rate/adjustment; click No to cancel the deletion and return to the form.

4. Click the Print PPS Rate Adjustment Factors button to produce a report listing all PPS definitions filed within this form for the Effective Date entered. If the Effective Date field is blank, the report displays data for all effective dates.

5. In the Labor Proportion field, enter the labor percentage as a decimal (e.g., 25% = '.25'). This figure should be greater than 0 and less than 1.

6. In the Non-Labor Proportion field, enter the non-labor percentage as a decimal (e.g., 25% = '.25'). This figure should be greater than 0 and less than 1.
   Note: The total percentage of the Labor Proportion and Non-Labor Proportion combined should equal 1. Incorrect amounts will be corrected so the field totals equals 1.

7. In the PPS Rate Percentage field, type the PPS rate percentage.

8. In the PPS ECT Rate (Per Treatment) field, type the ECT rate.

9. In the Teaching Adjustment field, type the teaching adjustment.

10. Click Submit to file the PPS rate/adjustment factor.