AHA Coding Clinic® for HCPCS - 2020 Issue 4; In this Issue

Reminders from the Medicare Claims Processing Manual

The following excerpts are from Chapter 4 of the Medicare Claims Processing Manual. Chapter 4 covers Inpatient Hospital Part B and the Outpatient Prospective Payment System (OPPS). The information below was selected as it relates to facility reporting under the OPPS. All of the chapters in the manual can be referenced on The Centers for Medicare and Medicaid Services (CMS) website at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS018912SECTION 20.2 — Applicability of OPPS to specific HCPCS codesThe CPT codes generally are created to describe and report physician services, but are also used by other providers/suppliers to describe and report services that...

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