Health Information Management

Pay-per-view: CMS adds data collection for services in off-campus, provider-based departments

APCs Insider, January 16, 2015

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CMS proposed that a new HCPCS modifier be appended to every code for a service furnished in a hospital's off-campus provider-based department on both the CMS-1500 claim form for physicians' services and the UB-04 form (CMS Form 1450) for hospital outpatient services in the 2015 OPPS proposed rule. Despite many detailed comments opposing this change, no consensus emerged; therefore, CMS is moving forward with implementing a slightly modified policy.
CMS finalized its proposal to introduce modifier -PO for use by facilities to report all services furnished in provider-based departments in off-campus locations. The new modifier will not affect payment, but will show CMS the frequency and types of services performed in these settings.
Continue reading CMS updates physician certification requirements for inpatient services on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the January issue.

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