OPPS,payment,system,reimbursem health OPPS A payment system of reimbursement for hospital outpat
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It has become a mustfor the health care service providers to undergo annual price reviews. The mainreasons for these types of changes are the increasing competition and thetransformation into consumer driven healthcare environment. The changes inlegislation are also one of the reasons why hospitals are opting to analyzehospital data for benchmarking analyses.HPS has been helpinghealth care service providers in this, since the year 1993. It provides thecustom hospital data after a detailed analysis through which clients can choosea particular hospital for pricing comparison at the HCPCS or MS-DRG levels.HPS can provide thecrucial data like outpatient data, inpatient data, inpatient service linepricing, department level pricing, hospital room rates and hospital financialdata, derived from Medicare cost reports within just 48 hours. The researchersat HPS are able to analyze the inpatient record of any Medicare patient who isadmitted in the hospital for the treatment of any ICD diagnosis afterconsulting the MEDPAR file.The MEDPAR which isshort for Medicare provider analysis and review can be used to analyze thepatterns and outcomes of a particular hospitals inpatient care by the lengthof stay of patients, their complications and prices. The MEDPAR records alsocontain the final action claims data in which all adjustments have beenresolved.Consumers are becomingmore and more knowledgeable to what they are paying to the hospitals that iswhy it becomes important for every medical service provider whether it is aprivate hospital or nursing homes, to have the information such as inpatientpricing and outpatient pricing. Based on the reports provided by HPS, consumerscan easily do accurate hospital price comparisons. This comparative study alsohelps them in choosing the right medical service provider for them.The consumers with thehelp of valuable hospital data provided by us come in a position to do hospitalprice comparisons along with hospital benchmarking. This comparison enables thehealthcare medical system to become more cost effective and efficient. Not onlythis, consumers can also make accurate hospital price comparisons with the helpof this strong medical data.OPPS is short forOutpatient Prospective Payment System. OPPS has proved to be tremendouslyuseful for patients as well as Centers for Medicare and Medicaid ServiceProviders which is a database made by CMS for reimbursement of hospitals thatprovide outpatient services.The OPPS wasimplemented on August 1, 2000 and since then it has been made compulsory forevery CMS hospital to have a Hospital Outpatient Prospective Payment System(OPPS). With the help of this system the beneficiary co-payments have beenreduced to a large extent.
OPPS,payment,system,reimbursem