AMA CPT® Assistant - 2000 Issue 5 (May)

Hospital Outpatient Prospective Payment System (May 2000)

May 2000 page 8 Coding Communication Hospital Outpatient Prospective Payment System The Health Care Financing Administration (HCFA) has announced its new Medicare payment system for hospital outpatient services, with implementation effective for claims with dates of service on or after July 1, 2000. The provisions for provider-based facilities owned by hospitals, including physician office practices, will be effective six months from the April 7, 2000, publication date. According to HCFA, the primary objective of the Hospital Outpatient Prospective Payment System (OPPS) is to simplify the payment system, encourage efficient delivery of care, and ensure more appropriate payment for services...

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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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