Corporate Compliance

MedicareFind Forum Spotlight: Inpatient-only procedures

Medicare Insider, December 21, 2010

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Weigh in on a recent MedicareFind Forum post:

If a Medicare OPPS claim has multiple procedures, let's say one with status indicator C and the other with T (Significant Procedure, Multiple Reduction Applies), should the whole claim still be denied for having a C procedure on an outpatient claim? Or should the line item with status indicator C be the only line denied, and the rest paid per the OPPS?

Read the full post and respond by going to the MedicareFind Forum. To respond, log in using your MedicareFind Forum username and password. If you don't have a username and password, you can register for free to respond or post your own question.



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