Q&A: Changes for pass-through devices and drugs in 2017

December 6th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a CMS policy update affecting pass-through items under the 2017 OPPS final rule. It explains the general nature of the timing change, the revised expiration approach for new pass-through items beginning in 2017, and the scope of applicability. The piece is aimed at coding and revenue integrity professionals who follow outpatient reimbursement policy changes.

Why This Topic Matters

Understanding this update helps coding and revenue integrity teams stay aligned with current outpatient payment policy and recognize which pass-through items are affected by the 2017 rule changes.

What You Will Learn

  • How CMS updated the timing framework for pass-through payment under the 2017 OPPS final rule
  • How the expiration period for new pass-through items changed beginning in 2017
  • Which items are affected by the update and which items are not
  • What general policy areas remained unchanged in the approval process

Who Should Read This

  • Outpatient coders
  • Revenue integrity specialists
  • Hospital reimbursement staff
  • Coding educators
  • Facility compliance staff

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