Note: Claims processing and payment changes under the CY 2012 OPPS final rule
Medicare Weekly Update, January 17, 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.
In this week’s note I will continue the discussion about key changes to the outpatient prospective payment system (OPPS) that became effective January 1, 2012. The OPPS is the primary payment methodology for outpatient hospital services and certain inpatient hospital services that are covered under Medicare Part B. As noted in last week’s issue, CMS released two transmittals, in the form of quarterly recurring update notifications (RUN), to explain the calendar year (CY) 2012 OPPS changes. One of the transmittals (R152BP) focused on related changes to the Medicare Benefit Policy Manual (MBPM), and the other (R2376CP) focused on relevant changes to the Medicare Claims Processing Manual (MCPM). In this week’s Note, we will focus on CY 2012 OPPS claims processing and payment changes/clarifications.
Continue reading Judith's note at the Medicare Mentor blog.
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