BC Advantage - 2009 Issue 12

Outpatient Prospective Payment System (OPPS) Final Rule

In the 2009 Outpatient Prospective Payment System (OPPS) Final Rule, the Centers for Medicare and Medicaid Services (CMS) issued a restatement and clarification of the requirements for physician supervision for "incident-to" billing.  This clarification created additional confusion in the provider community. Therefore, when the CMS issued its proposed 2010 OPPS Rule, it provided further clarification of the supervision requirements related to "incident-to" billing.  These 2010 proposed rules have now been finalized in the 2010 OPPS Final Rule which is effective as of January 1, 2010.  The amendment and clarification addresses the confusion and concern in the...

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