Medicare outpatient reimbursement is crucial for healthcare professionals navigating the complex landscape of healthcare finance. This course offers a comprehensive exploration of the reimbursement methodologies, regulations, and challenges associated with Medicare outpatient services. In this course, you will delve into the intricacies of the Medicare Outpatient Prospective Payment System (OPPS), including its evolution, key components, and payment methodologies. The course will examine the factors influencing outpatient reimbursement rates, including annual recalibrations and cost reporting impacts. You will also explore exceptions, exclusions, and regulations impacting Medicare outpatient reimbursement, enabling you to navigate compliance requirements effectively.
Course Outline
Course Outline
- Section 1: Course Introduction
- Section 2: Outpatient Prospective Payment System (OPPS)
- Section 3: Ambulatory Surgical Center (ASC)
- Section 4: Ambulance Services
- Section 5: Clinical Diagnostic Laboratory Services
- Section 6: Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
- Section 7: End-Stage Renal Disease (ESRD) Services
- Section 8: Mammography Services
- Section 9: Hospital Outpatient Rehab and Therapy Services
- Section 10: Course Assessment
When you complete this course, you’ll be able to:
- Identify the evolution, key components, and payment methodologies of the Medicare Outpatient Prospective Payment System (OPPS).
- Examine the factors influencing outpatient reimbursement rates.
- Explore exceptions, exclusions, and regulations impacting Medicare outpatient reimbursement.
- Develop skills to navigate compliance requirements.



















