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Thread: Hospital Charges / Payments?

  1. #1

    Default Hospital Charges / Payments?

    AAPC: Back to School
    I have been given the task of finding out how much a procedure will be reimbursed if it was performed in an outpatient Hospital setting vs it being performed in our ASC. I am having a very difficult time trying to find a Hospital Outpatient Fee Schedule, can anyone help? I have even found information on Hospital Outpatient Prospective payment system (OPPS), but I can not locate the reimbusement amounts? Any help would be greatly appreciated.

    Thank you,
    Valarie, CPC
    Last edited by vnorman; 03-23-2011 at 09:37 AM. Reason: Misspelling

  2. #2
    Join Date
    Apr 2007
    Spokane, WA



    The second or third option under Medicare is the Fee Schedule.

    Also, sign into any carrier's website and most have their fee schedule available.

    Also, go to your state's website, for instance wa.gov and do a search on the L&I fee schedule.

    From this information you can create an Excel spreadsheet comparing different carriers allowable amount.

  3. #3
    Join Date
    Apr 2007
    Atlanta Perimeter


    For general info try this site: http://newchoicehealth.com/

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