Assignment ASC and HOPPS (Ch. 7 Casto) Student Name 1. Ambulatory payment classi

Question

Assignment ASC and HOPPS (Ch. 7 Casto) Student Name 1. Ambulatory payment classifications (APCs) were developed by modifying what? 2. Name the two reimbursement methods used by HOPPS. 3. True or false? Procedures in HOPPS with a status indicator of C are indicated as inpatient-only they must be provided to Medicare beneficiaries in an inpatient setting and are reimbursed under the IPPS. 4. List three of the 10 APC types and provide the applicable payment status indicator(s) True or false? Medicare-certified ASCs may share record keeping and financial and accounting systems with hospitals in the same parent corporation. 5. 6. CMS created a motivation for surgical procedures to migrate from the more expensive inpatient setting to the less expensive outpatient surgery setting without creating a motivation to shift procedures from the less expensive physician office setting to the more expensive outpatient surgery setting by creating

Explanation / Answer

Ambulatory payment classification were developed by modifying what?

Ambulatory payment classification was developed by modifying 3M HIS

2.Name two of the four reimbursement methods used by OPPS
Fee Schedule
APC
Reasonable Cost
Average Sale Price of Drugs

3.True or false? Procedures in OPPS with a status indicator of Care indicated as inpatient-only; they must be provided to Medicare beneficiaries in an inpatient setting and are reimbursed under the IPPS.

True

4.List three of the 13 APC types and provide the applicable payment status indicator(s)

Medical visits-V
Ancillary services-X
Brachytherapy sources-U
Surgical procedures-T
Significant procedures-S
Blood and blood products-R
Partial hospitalization-P
Non-pass through drugs-K
Pass-through drugs and biological-G
Pass-through devices-H
STVX conditionally packaged-Q1
T conditionally packaged-Q2
Composite APC - Q3

5. True or false?Medicare certified ASCs measure Record Keeping and financial and accounting systems with hospitals in the same parent corporation.

False

6.CMS created a motivation for surgical procedures to migrate from the more expensive inpatient setting to the less expensive outpatient surgery setting without creating a motivation to shift procedures from the less expensive physician office setting to the more expensive outpatient surgery setting by creating ______________________.

Revising the ASC List which allowed procedures for the ASC setting

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