AMA CPT® Assistant - 2001 Issue 1 (January)

Outpatient Reporting-Hospital Outpatient Prospective Payment System (OPPS) (January 2001)

January 2001 pages 3-7 Coding Update Outpatient Reporting-Hospital Outpatient Prospective Payment System (OPPS) On April 7, 2000, the Health Care Financing Administration's (HCFA) final regulation to implement Medicare's Hospital Outpatient Prospective Payment System (OPPS) was published in theFederal Register. The new Medicare payment system for hospital outpatient services was implemented effective July 1, 2000. OPPS outlines provisions related to providerbased facilities owned by hospitals, including physician office practices. The new payment system is based on groups of services called "ambulatory payment classifications (APC)," which divide all outpatient services included in the new payment schedule into 451 groups. The...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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