HCPro, JustCoding Outpatient - 2019 Issue 22 (June)
Healthcare News: July OPPS update brings new HCPCS codes for drugs and biologicals
June 4th, 2019
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Article Overview
This news article explains a CMS outpatient prospective payment system update tied to July 2019, focusing on newly established HCPCS codes for drugs and biologicals in the hospital outpatient setting. It is relevant to hospital outpatient coders, billing staff, and reimbursement professionals who track quarterly OPPS changes, HCPCS code additions, and CMS implementation timing. The article also notes a related HCPCS biosimilar code and discusses the availability of pricing information in connection with product availability.
Why This Topic Matters
Quarterly OPPS updates can affect outpatient charge capture, code maintenance, and reimbursement workflows. Readers who bill hospital outpatient services need to know which new HCPCS identifiers were added and when the update takes effect.
What You Will Learn
- What CMS updated in the July 2019 OPPS quarterly release
- Which types of outpatient drugs and biologicals were addressed
- How CMS timing for effective and implementation dates was communicated
- How pricing availability was discussed in relation to outpatient payment files
Who Should Read This
- Hospital outpatient coders
- Outpatient billing staff
- Revenue cycle professionals
- Compliance teams
- Healthcare reimbursement analysts
Codes Discussed
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