Explain the difference between "PPS" and "OPPS."
What will be an ideal response?
PPS (prospective payment system) is the reimbursement system for inpatient hospital services. Under PPS, reimbursement is based on MS-DRGs, which are based on the ICD-9 code(s). OPPS (outpatient prospective payment system) applies to hospital outpatient/ambulatory procedures and ambulatory surgery centers. Under OPPS, outpatient/ambulatory services have preset reimbursement rates based on APCs, which relate to CPT codes.
You might also like to view...
What are the three functions of the spinal cord?
What will be an ideal response?
A(n) ____________________ is a dead microorganism that is administered for prevention or treatment of disease.?
Fill in the blank(s) with correct word
Skilled care services include assessment of illnesses, insertion of catheters, and wound care
Indicate whether the statement is true or false
A 42-year-old female with mild systemic disease had a vaginal hysterectomy for fibroids. What code should be used for anesthesia services?
A. 00940-P1 B. 00944-P2 C. 00952-P2 D. 00942-P1