The Out-Patient Department is responsible for patient who are not hospitalized for 24 hours or more but who visits a hospital, clinic, or associated facility for diagnosis or treatment.
Treatment provided in this fashion is called ambulatory care. Sometimes surgery is performed without the need for a formal hospital admisson or an overnight stay. This is called outpatient surgery. Outpatient surgery has many benefits, including reducing the amount of medication prescribed and using the physician’s or surgeon’s time more efficiently.
More procedures are now being performed in a surgeon’s office, termed office-based surgery, rather than in a hospital-based operating room. Outpatient surgery is suited best for healthy patients undergoing minor or intermediate procedures (limited urologic, ophthalmologic, or ear, nose, and throat procedures and procedures involving the extremities).
The Out-Patient Department of Premier Medical Services is responsible for patients that are treated and discharged the same day without admission.
The Nurses in this section are the first set of staff to be contacted as you work through the door. They are trained to be amiable and homely.
The Outpatient file contains final action, fee-for-service claims data submitted by institutional outpatient providers. This file includes:
- Dates of service
- Reimbursement amount
- Outpatient provider number
- Revenue center codes
- Beneficiary demographic information