tci Medicare Compliance & Reimbursement - 2005 Issue 36
Hospitals: Don't Forget About Pending OPPS Changes
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Article Overview
This article summarizes upcoming Medicare hospital outpatient prospective payment system updates with a focus on drugs, biologicals, and selected billing/payment changes. It is intended for hospital outpatient billing and coding staff who need to track CMS updates and understand which outpatient claims policies are changing during the 2005 OPPS cycle.
Why This Topic Matters
Hospitals and billing teams need to stay current with OPPS updates so outpatient claims are submitted under the correct payment and reporting rules. The article highlights CMS-announced changes that may affect facility billing workflows and charge reporting.
What You Will Learn
- Which types of hospital outpatient payment updates are being announced
- How CMS timing changes affect selected outpatient billing items
- What general billing workflow issue is noted for certain implanted devices
- Which Medicare outpatient payment update period the article is discussing
Who Should Read This
- Hospital outpatient billing staff
- Facility coders
- Revenue cycle teams
- Compliance staff
- Health information management professionals
Codes Discussed
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