tci Medicare Compliance & Reimbursement - 2005 Issue 13

HOSPITALS: Note These OPPS Changes To Avoid Future Trouble

Make sure you're billing correctly for mammographies, observation.If your facility is receiving denials for services performed since Jan. 1, you may need a refresher course on this year's outpatient prospective payment system (OPPS) adjustments. Here's the essential info your facility needs to report observation and mammographies with ease.CMS realized its requirements for earning observation payment in facilities weren't generating adequate reporting - so the agency gave the rules a user-friendly makeover. For starters, the tests that were required for payment last year are no more. The physician will probably still give a congestive heart failure (CHF) patient...

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