AHA Coding Clinic® for HCPCS - 2003 Issue 4

OPPS: Status indicators - APCs - fee schedules = payment

Lora DeWald, RHIA, CCS, CCS-P, Vice PresidentHealth Information Management, Avera Health The information in this article is intended to provide the background and information necessary to successfully match a Medicare Remittance Advice against a claim to determine the accuracy of the payment for an episode of care. If there are several line items on the claim, chances are that more than one data source must be consulted in order to verify payment accuracy. The Outpatient Prospective Payment System (OPPS) is based on HCPCS codes for medical and other health services. These codes are used for a wide variety of...

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