HOSPITALS: April OPPS Offers An Array Of Coding, Policy Changes

Why This Topic Matters

Hospital outpatient departments depend on current OPPS guidance to align coding, billing, and reimbursement workflows with Medicare updates. This article highlights several changes that can affect claim submission, code selection, and adjustment handling.

Article Sections

1. April OPPS update overview

   A summary of the Medicare outpatient prospective payment system update and the general types of coding and payment changes hospitals should expect.

2. New hospital payment codes

   A listing of newly reportable outpatient codes and related Medicare payment updates affecting several drug, procedure, and imaging services.

3. Don't Forget: CMS Deleted G0001

   A brief notice on a deleted venipuncture reporting option, related status indicator information, and the reactivation of an outpatient modifier for a limited date range.