AHA Coding Clinic® for HCPCS - 2001 Issue 4; FOR your INFORMATION
CMS releases the 2002 conversion factor for hospital OPPS
The Centers for Medicare & Medicaid Services (CMS) has released an updated conversion factor which is used to determine payment rates under the OPPS for calendar year 2002 in the November 2, 2001 Federal Register. The increase factor of 2.3 percent for 2002 coupled with the required wage index budget neutrality adjustment of 0.9936 resulted in a final conversion factor for 2002 of $50.904. In the November 2, 2001 Federal Register, CMS published an interim final rule on its criteria for establishing new categories of medical devices eligible for passthrough payments under Medicare’s hospital OPPS...
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Article Overview
This brief CMS update covers hospital outpatient prospective payment system (OPPS) payment policy for calendar year 2002. It explains the release of an updated conversion factor and notes a separate interim final rule addressing criteria for new categories of medical devices eligible for passthrough payments. The article is relevant to hospital outpatient billing, reimbursement, and compliance professionals tracking CMS rulemaking and Federal Register updates.
Why This Topic Matters
Changes to OPPS payment policy can affect hospital outpatient reimbursement and related compliance workflows. This article helps readers identify the CMS update and the accompanying rulemaking activity they may need to review for billing and reimbursement planning.
What You Will Learn
- What CMS updated for the 2002 hospital OPPS payment methodology
- How the article frames the related CMS rulemaking on passthrough payment criteria
- Where the referenced Federal Register material was published and commented on by stakeholders
- Which payment-policy topics are highlighted for hospital outpatient settings
Who Should Read This
- Hospital outpatient billing staff
- Hospital revenue cycle professionals
- Coding and reimbursement specialists
- Compliance teams
- Health policy analysts
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