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Pages:
2 pages/≈550 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 10.37
Topic:

IPPS and OPPS Job Aid: ABC Hospital

Coursework Instructions:

This assignment asks you to create a job aid to differentiate between the IPPS and OPPS payments systems in five different categories: implementation date, coverage, unit of payment, basis for payment, and the steps in determining the payment rate. Use the information from both articles to fill out the chart attached. Use the questions listed below to help fill in the chart.
Remember to only use information from the article and site it in the chart.
Create a job aid that will be posted in the HIM department to help employees identify both the IPPS and OPPS payment systems. Follow the steps below to complete this assignment:
A. Article 1: “Acute Care Hospital Inpatient Prospective Payment System” by the Department of Health and Human Services Centers for Medicare and Medicaid Services.
B. Article 2: “Hospital Outpatient Prospective Payment System” by the Department of Health and Human Services Centers for Medicare and Medicaid Services.
2. Consider what you’ve learned in these articles, other readings you’ve been assigned, and create a job aid that explains the purpose, characteristics, and background for both the IPPS and OPPS. You can use the job aid template attached to the end of this document. Answering the questions below will help you complete the job aid:
A. IPPS
1) When was the IPPS system implemented?
2) What does the IPPS system cover?
3) What name is used for the unit of payment?
4) What is the basis for payment?
5) What steps are involved in determining the payment rate?
B. OPPS
1) When was the IPPS system implemented?
2) What does the IPPS system cover?
3) What name is used for the unit of payment?
4) What is the basis for payment?
5) What steps are involved in determining the payment rate?
3. Answer each question completely and thoroughly. Keep your audience in mind. This job aid is for health care professionals, so you can use medical jargon.
4. To ensure that your job aid is based on fact and not just your opinion or perspective, you must use information from the articles to answer every question.
5. Each time you refer to information you gained from one of the articles, make sure you indicate the source for the information. It is important to avoid plagiarism by giving credit to another author’s ideas.

Coursework Sample Content Preview:
IPPS and OPPS Job Aid Author Name Institution Affiliation ABC Hospital HIM Department IPPS and OPPS Job Aid IPPS OPPS Implementation date October 2, 1983 2000 Coverage The inpatient hospital benefit covers sufferers for up to three months of care, with an extra two months of lifetime reserve. The episodes of illness start when patients get admitted or are out of the hospital for two consecutive months. It covers outpatient services and items. Certain Medicare services are also provided whenever there is an emergency. Partial hospitalization services are provided by either the hospitals or Community Mental Health Centers (CMHCs). A Home Health Agency (HHA) provides hepatitis B vaccines to patients who have not availed a home health plan of care. Initially, a physical examination is done within the first year of the Medicare coverage. Unit of payment DRG APC Basis for payment The base rates of IPPS payments are updated regularly, and its adjustments are done on the basis of operating and capital payment rates (He & Mellor, 2012). The payment rate and copayment are calculated for an APC, which is then applied to every service within the APC. In some circumstances, the new services are solely assigned to New Technology APCs (Kiesler & Simpkins, 1993). Steps in determining payment rate 1. MCC–Major Complication/Comorbidity 2. CC-Complication/Comorbidity 3. Non-CC–Non-Complication/Comorbidity It is possible to determine the payment rate by multiplyin...
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