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The outpatient prospective payment system (OPPS) is a complicated arena of rules and regulations with information changing quarterly. As the Centers for Medicare and Medicaid Services continues to adjust and massage OPPS, we can expect continued growth in the number of rules and instructions from the agency.
Benefits:
- Pricing information (small vs. large balances) is
useful to make optimal coverage decisions (How much physician follow
up can we afford on these tests?)
- Increase cash collections
- Lower collections cost
- Reduces A/R and Write-Offs
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Highlights:
- Fully integrated with our Medical Necessity
solutions.
- Instantly calculates your hospital’s exact payment rate and co-payment for over
12,000 CPT/ HCPCS
codes.
- All-in-one payment calculation for non-APC items such as Laboratory
and Physical Therapy services.
- Prints patient co-payment statements.
- It’s accurate. We calibrate it to your hospital's wage index and then verify the results so that they match your
remittances.
- Decision support tool that quickly compares
2004/200/2006 payment rates.
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