tci ED Coding & Reimbursement Alert - 2001 Issue 11

CMS To Revive Facility Charges for Observation Care

CMS has proposed a reimbursement policy change that would allow hospitals to submit facility charges for Medicare beneficiaries admitted to observation status. This proposal, published in the Aug. 24, 2001, issue of the Federal Register, signals a reversal of Medicare's current policy not to pay these facility charges. The Final Rule, which many ED coding professionals expect to include virtually all of CMS' proposed changes, is anticipated in early November. According to Jim Blakeman, senior vice president for coding quality assurance with Healthcare Business Resources Inc. in Bala Cynwyd, Pa., CMS has proposed  a new code, APC 0339...

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