Assignment: OPPS, ASC reimbursement Assignment: OPPS, ASC reimbursement
Assignment: OPPS, ASC reimbursement
Assignment: OPPS, ASC reimbursement
Figure 1: HospitalInformation
| Bedsize: | Teachingstatus: | Wage index:.9971 | |
| 300 beds | Non-teaching | ||
| Cost to Charge Ratios(CCRs) | |||
| RC250 | Pharmacy,general | 0.408344 | |
| RC270 | Supplies,general | 0.796788 | |
| RC271 | Nonsterilesupply | 0.796788 | |
| RC272 | Sterilesupply | 0.796788 | |
| RC276 | Intraocularlens | 0.796788 |
| RC301 | Chemistry | 0.291546 |
| RC312 | Pathology,surgical | 0.291546 |
| RC360 | Operatingroom | 0.404314 |
| RC370 | Anesthesia | 0.321246 |
| RC710 | Recoveryroom | 0.404314 |
| RC730 | EKG | 0.38251 |
| RC920 | Diagnosticservices | 0.88447 |
Figure 2: Claim Information Hospital OutpatientDepartment
| Admitdate | 2/20/2015 | Dischargedate | 2/20/2015 |
| Sex:F | Age:70 | LOS: 1day | |
| Admitdiagnosis | 366.9 | Cataract,unspecified | |
| Principaldiagnosis: | 366.10 | Senile cataract,unspecified | |
| Principalprocedure: | 66984 | Cataract extraction with IOLinsertion | |
| ChargeDetail | |||
| RevenueCode | CPT/HCPCSCode | CodeDescription | Charge |
| 250 | $475.25 | ||
| 270 | $380.25 | ||
| 271 | $1178.18 | ||
| 272 | $1297.07 | ||
| 276 | $551.00 | ||
| 301 | 36415 | Routine venipuncture | $10.00 |
| 301 | 82565 | Assay ofcreatinine | $33.75 |
| 301 | 84132 | Assay ofserum potassium | $33.75 |
| 301 | 85014 | Hematocrit | $34.75 |
| 312 | 88304 | Tissue examby pathologist | $83.50 |
| 360 | 66984 | Cataractextraction w/IOL | $801.33 |
| 370 | $574.00 | ||
| 710 | $341.00 | ||
| 730 | 93005 | Electrocardiogram, tracing | $124.50 |
| 920 | 90772 | Ther/proph/diaginj, sc/im | $75.50 |
| TOTALCharges | $5,693.83 | ||
| Medicare beneficiary copaymentamount: | $531.88 | ||
Figure 3: Claim Information Ambulatory SurgeryCenter
| CPT Code:66984 | Cataract extractionwith IOL | Charges: $2,500.00 |
| Medicare beneficiary copaymentamount: | $192.76 | |
Figure 4: Fee Schedule Information (CY 2012; to get current year seewww.cms.gov)
| RevenueCode | CPT/HCPCS | FeeSchedule Amt | StatusIndicator |
| 301 | 36415 | $3.00 | A |
| 301 | 82565 | $7.26 | A |
| 301 | 84132 | $6.51 | A |
| 301 | 85014 | $3.35 | A |
Figure 5: APC Information (CY 2012; to get current year seewww.cms.gov)
| RevenueCode | CPTCode | APC | Relative Weight | StatusIndicator |
| 312 | 88304 | 0343 | 0.5262 | X |
| 360 | 66984 | 0246 | 23.8786 | T |
| 730 | 93005 | 0099 | 0.3823 | S |
| 920 | 90772 | 0436 | 1.8104 | S |
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
