October 20, 2014
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.
There is comprehensive coverage of both ASC and APC payment systems so that you can establish the right payment and audit reimbursement processes for your facility. The book also contains the most recent code sets and information from CMS and other industry sources keeping all billing current and accurate using up-to-date rates and groups for the APC and ASC payment systems. You will be able to resolve billing and denial issues and establish payment and audit reimbursement processes. Also use this book to determine fees and payments prior to submitting your claim as it includes fees, formulas, and tables to determine appropriate APC or ASC reimbursement.
There are quarterly print updates so you can stay current with regulatory changes specific to your facility as well so you won't be left in the dark when changes occur.