Foundational Coding: Outpatient Prospective Payment System (OPPS)

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About this course

This course provides an overview of the Medicare Outpatient Prospective Payment System (OPPS). Areas reviewed include the role of the OPPS in the revenue cycle, ambulatory payment classifications (APCs), and how OPPS reimbursement can be affected in various outpatient facility settings.



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  • Introduce the Outpatient Prospective Payment System (OPPS)
  • Explore the history of OPPS
  • Introduce the multiple components of the OPPS
  • Examine different factors that occur in an outpatient facility and how they affect OPPS reimbursement
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