Coding and Reimbursement under the Outpatient Prospective Payment System

Coding and Reimbursement under the Outpatient Prospective Payment System (OPPS) walks you through Medicare’s new reimbursement system for hospital-based outpatient services, which was launched in August 2000. Targeted at management-level health information management professionals and their coding staffs, this essential guide allows you to become an OPPS resource for your organization. Get the answers you need to ensure accurate and complete coding and billing so your facility receives all the reimbursement dollars to which it’s entitled. Written by a nationally recognized coding expert, Coding and Reimbursement under the Outpatient Prospective Payment System offers a convenient, one-source reference to: -Learn ambulatory payment classifications (APCs) and understand the services they do and don’t cover -Become an expert on the billing systems used under OPPS -Master the principles of diagnostic and procedural coding for hospital-based ambulatory care services, including emergency, outpatient, chemotherapy and radiation therapy, radiology, and pathology services, and ambulatory surgery The new regulations demand completeprecise CPT/HCPCS and ICD-9-CM coding. With Coding and Reimbursement under the Outpatient Prospective Payment System, you’ll strengthen your organization’s coding expertise and OPPS compliance, and affect your facility’s financial bottom line. Pertinent articles from recent issues of the Journal of AHIMA, numerous coding examples, a glossary, and hands-on practice in applying APCs and coding outpatient services will make you an expert. Six appendices provide vital information about the new regulations on outpatient reimbursement, coding tips, and guidelines for documentation and coding audits. A detailed index and an answer key for the coding exercises are also included. Share this critical information with your staff. Take advantage of this concise resource and start making sense of OPPS legislation today!