Corporate Compliance

MedicareFind tip: How to access the inpatient-only list

Medicare Weekly Update, November 10, 2009

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CMS publishes the inpatient-only list with each OPPS final rule as Addendum E. The best way to access this in MedicareFind is to do a FIND for “Addendum E”, then apply the “Data Files” filter — this will make it so you are seeing a list of documents in the Excel data file format that CMS releases (rather than, for example, the Federal Register format). From here you can use the “Year” filters to access whichever inpatient-only list you need.

Take a look at this example.

You can also access the inpatient-only list by using Addendum B, which CMS updates quarterly. Perform a FIND for “Addendum B” and, as before, apply the “Data Files” filter. From here apply a “Year” filter, then pick the appropriate month depending on which quarter’s file you want. When you open up the Excel document, sort the data by status indicator. The codes with a “C” status indicator are inpatient-only procedures.

Take a look at this example.

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