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APC PRICER The APC Pricer Program (Ambulatory Payment Classification) is a complete system for editing and calculating reimbursement of hospital outpatient procedures based on the CMS Outpatient Prospective
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What is opps pricer?
Opps pricer is a pricing tool used in the outpatient prospective payment system (OPPS) to determine the reimbursement rates for various healthcare services provided by hospitals.
Who is required to file opps pricer?
Hospitals that are eligible for Medicare reimbursement and provide outpatient services are required to file opps pricer.
How to fill out opps pricer?
To fill out opps pricer, hospitals need to enter the relevant data related to the healthcare services provided, including the cost of supplies, personnel, equipment, and other overhead expenses.
What is the purpose of opps pricer?
The purpose of opps pricer is to ensure that Medicare reimbursement rates for outpatient services are based on accurate cost information, promoting fair and efficient payment for healthcare providers.
What information must be reported on opps pricer?
The information reported on opps pricer includes the cost of supplies, personnel, equipment, and overhead expenses associated with the delivery of outpatient services.
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