Wiki Need general info on outpatient/facility billing

[lch]

What would be a good general reference/study guide for someone who is not familiar with hospital/outpatient/facility billing guidelines? I have worked the past 15 years on the physician side, and am starting a new job next week working in the hospital/facility setting..it's a totally different world..I'm up for the challenge and want to learn, just not sure where to find info.

Thanks!
LCH

 

[mitchellde]

Hospital outpatient is not totally different but you need to know who is responsible for what in the facility. As in who assigns the E&M code, the coder or charge entry, and what codes are assigned thru the chargemaster, and what modifiers go thru the chargemaster. ALso know that facilities can have more that 1 E&M on the same day and there are modifiers for that as well. I am not sure about books but do a web search for OPPS and APCs and you should have more to read than you want!