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Outpatient Billing Expert - eBook — 2019



2019 Outpatient Billing Expert

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

 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 fees 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.
 Quarterly print updates. Stay current with regulatory changes specific to your facility.
 Easy-to-use format organized by tabs. Easily locate the billing information needed to speed
the submission of claims