Don't leave money on the table: Report eligible procedures under OPPS
Briefings on Coding Compliance Strategies, February 1, 2009
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.
Effective January 1, coders can report HCPCS code C9899 when providers implant a prosthetic device for a Medicare beneficiary who is an inpatient but who doesn’t have Part A coverage of inpatient services on the date of the procedure.
This concept—receiving reimbursement for an in- patient service under the outpatient prospective pay- ment system (OPPS)—isn’t new. In fact, there are 11 categories of inpatient Part B services that providers can bill under the OPPS. However, the recent guidance from CMS about HCPCS code C9899 offers a good reminder of financial opportunities that your hospital might be missing.
Many providers are unaware that they can receive reimbursement for certain categories of inpatient ser-vices under the OPPS, says Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance at HCPro, Inc., in Marblehead, MA. Just as with any type of compliant coding, this process requires open communication between coders, billers, and case management, as well as a solid understanding of several specific rules.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.
Comments
0 comments on “Don't leave money on the table: Report eligible procedures under OPPS ”
Related Products
-
Reducing Readmissions: A Blueprint for Improving Care Transitions
As the healthcare industry implements reforms that will penalize hospitals for readmissions deemed unnecessary, it’s crucial...
-
The HIM Director's Guide to ICD-10
ICD-10 is the biggest change for the HIM industry since the implementation of DRGs in the 1980s. HIM directors must take...
-
ICD-10 Trainer
ICD-10 Trainer is a bi-weekly e-newsletter with the latest tips from the experts about how to get ready for the new coding...
-
Coding and Physician Language
This unique handbook by coding expert Gloryanne Bryant, RHIA, CCS, CCDS, addresses the 32 most confusing conditions for...
-
Documentation Strategies to Support Severity of Illness
Written by well-known physician educator Robert S. Gold, MD, this handbook covers 32 of the most troubling conditions in...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- Running an effective peer review committee meeting
- HealthDataInsights posts new issues for medical necessity claims
- Sneak Peek: Effort underway to establish caseload benchmarks
- Q/A: Coding for telescopic intraocular lens
- New FAQ posted on storing laryngoscope blades
- Tip: Perform your own internal investigation prior to government audit
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- HHS task force: Consider privacy, security with text messages
- What does case-mix index mean to you?
- Q/A: Coding for telescopic intraocular lens
- Q/A: Correct use of modifier -PT
- Tip: Correctly code bilateral pain management procedures
- "Wall fountains" may be spreading Legionnaires to patients, visitors
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- Case Management Monthly, March 2012
- Searched