Medical Coding and Out Patient Reimbursement
Friday, February 01, 2008
The obvious solution is to be careful while billing and coding. Essential skills include,
HOPPS is the payment system, implemented August 1, 2000, and is used by CMS to reimburse for hospital outpatient services. The Centers for Medicare and Medicaid (CMS) issued a final rule on the 2008 Hospital Outpatient Prospective Payment System (OPPS) on November, 1, 2007. This final rule affects outpatient services furnished by general acute care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, and long-term acute care hospitals. To download or take a look at 2008 OPPS proposed rule, go to the CMS Web site,
http://www.cms.hhs.gov/HospitalOutpatientPPS/downloads/cms1392p.pdf
Outsource Strategies International (OSI) is a US based medical transcription company that offers outsourced services in medical billing, medical coding and medical transcription services to clients world wide and in all the US States.
Quite often we find radiologists, hematologists and other consultants having a confused state of mind with regards to taking decisions on medical coding. This is because on one end there is the risk of being penalized for over charging the patient and at the other end is the risk of getting insufficient reimbursement. So what is the solution to this problem?
The obvious solution is to be careful while billing and coding. Essential skills include,
- Detailed awareness of Coding
- Medical terminologies
- Ability to get into details
- Basic coding principles
- Proper documentation
- Understanding all codes
- Regulations of Medicaid/ Medicare/ Blue Cross etc
HOPPS is the payment system, implemented August 1, 2000, and is used by CMS to reimburse for hospital outpatient services. The Centers for Medicare and Medicaid (CMS) issued a final rule on the 2008 Hospital Outpatient Prospective Payment System (OPPS) on November, 1, 2007. This final rule affects outpatient services furnished by general acute care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, and long-term acute care hospitals. To download or take a look at 2008 OPPS proposed rule, go to the CMS Web site,
http://www.cms.hhs.gov/HospitalOutpatientPPS/downloads/cms1392p.pdf
A summary overview of the 2008 HOPPS Final rule is available at http://www.acr.org/Hidden/Economics/FeaturedCategories/mps/hopps/2008HOPPS/2008HOPPS.aspx
Outsource Strategies International (OSI) is a US based medical transcription company that offers outsourced services in medical billing, medical coding and medical transcription services to clients world wide and in all the US States.
Labels: medical billing, Medical Coding, medical coding and Outpatient reimbursement, medical coding company
posted by Outsource Strategies International @ 6:04 PM
