I need help with filling in the tables on this assignment. I do not understand it. Need this by the end of the day today. It is Medical Reimbursement

CHAPTER 7 APPLICATION EXERCISE 3. OPPS/ASC Reimbursement Comparison for Cataract Surgery Part I: Use the information found in Figures 1-5 (below) and the textbook to complete the OPPS payment calculations in Table 1 and the ASC PPS payment calculations in Table 2. The 2015 OPPS conversion factor is $74.17. The 2015 ASC PPS conversion factor is $44.07. Figure 1: Hospital Information Bed size: Teaching status: 300 beds Non-teaching Cost to Charge Ratios (CCRs) RC 250 Pharmacy, general RC 270 Supplies, general RC 271 Nonsterile supply RC 272 Sterile supply RC 276 Intraocular lens RC 301 Chemistry RC 312 Pathology, surgical RC 360 Operating room RC 370 Anesthesia RC 710 Recovery room RC 730 EKG RC 920 Diagnostic services Wage index: . 9971 0.408344 0.796788 0.796788 0.796788 0.796788 0.291546 0.291546 0.404314 0.321246 0.404314 0.38251 0.88447 Figure 2: Claim Information Hospital Outpatient Department Admit date Sex: F 2/20/2015 Age: 70 Discharge date LOS: 1 day Admit diagnosis Principal diagnosis: Principal procedure: Charge Detail Revenue Code 250 270 271 272 276 312 366.9 366.10 66984 Cataract, unspecified Senile cataract, unspecified Cataract extraction with IOL insertion 360 CPT/HCPCS Code 88304 66984 370 710 730 93005 920 96372 Code Description Tissue exam by pathologist Cataract extraction w/IOL Electrocardiogram, tracing Ther/proph/diag inj, sc/im TOTAL Charges 2/20/2015 Charge $475.25 $380.25 $1178.18 $1297.07 $551.00 $83.50 $2,801.33 $574.00 $341.00 $124.50 $75.50 $7,881.58 CHAPTER 7 APPLICATION EXERCISE Figure 3: Claim Information Ambulatory Surgery Center CPT Code: 66984 Cataract extraction with IOL TOTAL Charges Charges:$3,500.00 $3,500.00 Figure 4: OPPS Addendum B (Payment) Information CPT Code Status APC APC Relative Copayment Indicator* Weight Amount 66984 T 233 23.6288 $350.53 88304 Q1 342 0.7318 $10.86 93005 Q1 99 1.0579 $15.70 96372 S 437 0.7218 $10.71 * OPPS Status Indicator meaning are located in Table 7.13 in the textbook Figure 5: ASC Addendum AA (Payment) Information CPT Code Status Relative CMS Payment Indicator Weight Amount 66984 A2 21.7976 80% Payment Rate Copayment Amount 20% Payment Rate Table 1: OPPS Reimbursement (Use Figure 7.10 in textbook for guidance) Step Methodology Total Adjust for geographic factors A Adjust for complexity of service (complete for each separately payable service) B C D Apply OPPS provisions if applicable NO OUTLIER for this example TOTAL Reimbursement E Table 2: ASC PPS Reimbursement (Use Figure 7.14 in textbook for guidance) Step Methodology Total A Adjust for geographic factors B Adjust for complexity of service C TOTAL Reimbursement CHAPTER 7 APPLICATION EXERCISE Part II - Discussion Question: Discuss the parity and disparity between the payment levels at the ASC and Hospital-based surgery center. Why is parity and disparity an important topic to discuss? How does it affect the average Medicare beneficiary