This reference tool is a one-source guide for both the free-standing ASCs impacted by the new ASC payment system and HOPDs paid under the APC system. Outpatient Billing Expert provides detailed references with payment information for hospitals and ambulatory surgery centers billing outpatient claims and information to improve reimbursement and reduce claim denials. This all-in-one resource also provides APC and ASC groups, reimbursement amounts, coverage issues and information on what is not covered.
Features & Benefits:
- Find Comprehensive Coverage of Both ASC and APC Payment Systems. Establish the right payment and audit reimbursement processes for your facility.
- Includes the Most Recent Code Sets and Information from CMS and Other Industry Sources. Helps keep all billing current and accurate using up-to-date rates and groups for the APC and ASC payment systems.
- Contains Information Used Daily by APC and ASC Facilities. Resolve billing and denial issues and establish payment and audit reimbursement processes within APC and ASC facilities.
- Non-OPPS Payment Fee Schedule. Provides the name of the fee schedule that applies to non-OPPS payments.
- Web Updates and Quarterly Print Updates. Stay current with regulatory changes specific to your facility by accessing information on our web site.
- Easy-to-Use Format Organized by Tabs and Logical Supportive Information for Quick Reference. Easily locate the APC billing information needed to speed the submission of the claim through the updateable manual.
- Exclusive to the eBook: Contains Downloadable Excel Interactive Calculators That Determine Facility-specific Reimbursement and Detailed Drug Information.
- Includes a Compilation of PPS Edits and Edit Resolution Strategies for Daily Clean Claims Submission and Denial Management:
- Hospital Edits
- MCE Edits
- OCE Logic Tables
- OCE Edit Explanation Tables
- OCE Edit Resolution Tables
|
