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Please fill the following tables for the ambulatory care prospective payment systems: HOPPS Payment Process ASCPPS Payment Process ESRD Payment Process HSPS Payment Process Type

Please fill the following tables for the ambulatory care prospective payment systems:

HOPPS Payment Process ASCPPS Payment Process ESRD Payment Process HSPS Payment Process
Type of code used to determine the payment and the process by which the code is arrived at (write a few sentences for the process)
Patient data that must be presented with the claim
Facility level adjustments

Patient level adjustments

Outlier payment processes, if applicable (write a few sentences for the process)

Other adjustments, if any

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