There are four tabs in this file: Example, ED Visit, Rural SCH, and Surgery. The first tab, Example, demonstrates how to calculate reimbursement and cost for an outpatient hospital claim. The remaining tabs provide three different claims

For this exercise, use the file titled AB202022_Ch07_Practice with OPPS Reimbursement and Cost.xlsx Download AB202022_Ch07_Practice with OPPS Reimbursement and Cost.xlsx (Please see attachment to directions). There are four tabs in this file: Example, ED Visit, Rural SCH, and Surgery. The first tab, Example, demonstrates how to calculate reimbursement and cost for an outpatient hospital claim. The remaining tabs provide three different claims, each with a different service type or focus. For each claim, use Addendum B (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Addendum-A-and-Addendum-B-UpdatesLinks to an external site.) to locate the reimbursement rates by CPT code. Calculate Medicare reimbursement, total charges, and total cost. Does the facility make a profit or incur a loss?

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