AHA Coding Clinic® for HCPCS - 2005 Issue 3; FOR your INFORMATION

Reprocessing of OPPS claims containing surgical procedures

An error was discovered in the 2005 OPPS PRICER that miscalculated the outlier payment amount. The error was corrected in the July 2005 version of the OPPS PRICER. By September 15, 2005, FI’s should mass adjust all claims that meet all of the following criteria using the corrected July 2005 OPPS PRICER: 1. Claims were processed using the January or April 2005 OPPS PRICER prior to the July 2005 OPPS PRICER installation; and 2. Claims with one or more surgical procedure lines (lines with status indicator of “T” or “S” with HCPCS codes greater than 09999...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.