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Question: 1 / 400

When billing for hospital outpatient surgeries, which statement is true?

Each hospital department submits separate claims

All services performed on the same date are consolidated on one claim

When billing for hospital outpatient surgeries, the practice of consolidating all services performed on the same date into one claim is essential for accurate and efficient billing. This approach ensures that the payer receives a comprehensive view of the services provided during a single visit, which is crucial for reimbursement processes and minimizes administrative burden.

Consolidating services into one claim reflects the totality of care provided to the patient in a specific episode of care, capturing the complexity and resources utilized. This method not only provides a more accurate depiction of the patient's treatment but also aligns with billing standards that encourage bundled payments for outpatient services. This can lead to improved reimbursement cycles and a clearer documentation trail.

The other statements are not in line with the standard practices in outpatient surgery billing. For instance, each hospital department submitting separate claims could lead to redundant processing and potential confusion about the services delivered. Additionally, billing only the highest fee procedure does not appropriately represent the total care given, while indicating that claims for surgeries are not required dismisses the essential need for accurate claims submission in the billing process. Therefore, consolidating all related services on one claim is the correct approach for hospital outpatient surgeries.

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Only the procedure with the highest fee is billed

Claims for surgeries are not required

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