Note: Benefit policy changes under the CY 2012 OPPS final rule
Medicare Weekly Update, January 10, 2012
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Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.
The most significant changes to coverage and reimbursement under the Outpatient Prospective Payment System (OPPS) are implemented at the start of each calendar year. In addition to the final rule, CMS publishes its first quarter updates to the OPPS in January of each year. These updates are published in the form of recurring update notification (RUN) transmittals. This year, CMS published two RUN transmittals incorporating changes under the calendar year (CY) 2012 OPPS final rule. One of the transmittals (R152BP) focuses on related changes to the Medicare Benefit Policy Manual (MBPM), and the other (R2376CP) focuses on relevant changes to the Medicare Claims Processing Manual (MCPM). In this week’s Note, I will focus on benefit policy changes and clarifications.
Continue reading Judith's note at the Medicare Mentor blog
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