Payment Bundling (PB)/Prospective Payment System (PPS)
According to Centers for Medicare and Medicaid Services, the Bundled Payments for Care Improvement (BPCI) initiative is comprised of four broadly defined models of care, which link payments for the multiple services beneficiaries receive during an episode of care. Under the initiative, organizations enter into payment arrangements that include financial and performance accountability for episodes of care.
Examples of Payment Bundling (PB) or Prospective Payment System (PPS) Investment Activities
|PB or PPS Investment Activities||Allowable Investments|
|A. ICD-10 software||
|B. ICD-10 training|
|C. Efficiency or quality improvement training in support of PB or PPS related initiatives||
Training that improves processes through the adoption of best practices and the transition to value-based payment strategies such as the following:
|D. S-10 Cost Reporting training||
|E. Price transparency training||
Training to support hospital compliance with price transparency rule. Funding cannot support consultants or vendors to build a price transparency software or website development time. SHIP funds can support staff training by a consultant.
Training on revenue cycle management* to improve processes that provide clear information about charges and costs to Medicare beneficiaries. Training examples:
* New or expanded activities and examples
- CMS Bundled Payment for Care Improvement (BPCI) Model 4
- CMS BPCI Learning & Resources Area
- Educational trainings on Financial and Revenue Cycle Improvement available through HELP Webinars support hospitals with gaining a better understanding of alternative payment models such as PB