IP vs OP Charge Gross-up Export

The purpose of the IP vs. OP Charge Gross-up Export is to help compare the revenue and usage report’s inpatient and outpatient charge per unit for like procedures.  The outpatient charges are adjusted to equal the inpatient charge per unit if a charge differential exists. Revenue codes related to medical supplies, drugs, and implantable devices should be excluded (revenue codes 250-279, 630-639) as well as any procedures that are weighted more than 80% (based on units) towards inpatient or outpatient.

Note: Toyon can provide an Outpatient Charge Gross-up Template to calculate the correct adjustment, which will align your outpatient and inpatient revenues based on the IP vs. OP Charge Grossup Export.

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