tci Medicare Compliance & Reimbursement - 2013 Issue 11

Hospital Outpatient Procedure Payments: Update Your Systems To Reflect OPPS And ASC Changes

Good news for providers. Expect to modify your reporting of some services thanks to recent changes from the Centers for Medicare & Medicaid Services (CMS). Two new services were added to the OPPS payment lists effective April 1, 2013. The changes also corrected ASC payment rates for two HCPCS codes retroactively to January 1, 2013. Add New Services and Pass-Through Status Two services were added to the OPPS payment list: C9734 (Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with or without magnetic resonance [MR] guidance): MRgFUS (MR guidance focused ultrasound) provides high intensity focused ultrasound waves to treat...

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