Outpatient Billing Expert eBook by Optum360

Electronic ebook edition. Reference tool is a one-source guide to billing APCs and ASCs. Provides detailed references with payment information for hospitals and ambulatory surgery centers billing outpatient claims and information to improve reimbursement and reduce claim denials.
Read Full Description

  • Your Price: $199.95

Order by purchase order

  • Item#: PE3883
  • Edition: Updateable
  • Format: Updateable eBook Download
  • ISBN#: 978-1-60151-989-4
  • Availability: In Stock
  • Product Notes:
  • Updated quarterly. Download link usually emailed within 24 hours.

Keep Up with Rapid Changes to APC and ASC Payment Systems

Please Note: An email address is required for electronic fulfillment of this product. Please allow at least 24 hours for download link to be emailed after purchase.

A data profile form must also be completed for software licensing.

This reference tool is a one-source guide for both hospital outpatient departments (HOPD) and free-standing ambulatory surgical centers (ASC) billing outpatient claims. Outpatient Billing Expert provides detailed references with payment information and guidance 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.

Key features and benefits of this ebook:

  • 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. Keep all billing current and accurate using up-to-date rates and groups for the APC and ASC payment systems.
  • Contains information used on a daily basis by HOPD and ASC facilities. Resolve billing and denial issues and establish payment and audit reimbursement processes.
  • Easily determine fee and payments prior to submitting your claim. Includes fees, formulas, and tables to determine appropriate APC or ASC reimbursement.
  • Non-OPPS payment fee schedule. Provides the name of the fee schedule that applies to non-OPPS payments.
  • Web updates and quarterly updates. Stay current with regulatory changes specific to your facility.

Exclusive to the eBook! Includes a compilation of PPS edits and edit resolution strategies for daily clean claims submission and denial management:

  • Hospital CCI edits
  • MCE edits
  • OCE logic tables
  • OCE edit explanation tables
  • OCE edit resolution tables

There are no product reviews at this time. Be the first to review this product.