Decker R
Hosp Mater Manage. 1992 Jul;17(7):22-3.
A controversy has developed over whether a purchase order for a large item of movable equipment amounts to an obligation under the new Medicare Capital Prospective Payment System (PPS) of the Health Care Financing Agency (HCFA). HCFA's draft revision to the Provider Reimbursement Manual indicates that a p.o. doesn't stand alone as a binding contract and that such purchases should be by formal contract. Some hospital trade groups argue that, in the normal practice of most hospitals, the p.o. is a contract to buy and should be treated as an obligation under the Medicare rules. In this dialogue, Dr. Decker addresses the issues of this controversy.
对于一项大型可移动设备采购订单是否构成医疗保健筹资机构（HCFA）新的医疗保险资本预期支付系统（PPS）下的一项义务，已经引发了一场争议。HCFA对《医疗服务提供者报销手册》的修订草案表明，采购订单本身并非具有约束力的合同，此类采购应以正式合同进行。一些医院行业组织认为，在大多数医院的正常操作中，采购订单就是一份购买合同，应被视为医疗保险规则下的一项义务。在本次对话中，德克尔博士探讨了这一争议的相关问题。
