Health Information Management

Pay-per-view: CMS releases update to correct and clarify comprehensive APC payments

APCs Insider, May 22, 2015

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CMS released updated I/OCE specifications in January with several changes that could require providers to examine claims submitted early in 2015 that include comprehensive APCs (C-APC) to ensure proper payment.
 
The agency clarified how certain code pairs should be ranked and made changes to add-on codes to ensure the application of complexity adjustments.
 
"CMS used the data set from 2013 [to create C-APCs], so some of the current codes didn't exist," and which led to these errors, says Dave Fee, MBA, content manager, applied research, at 3M Health Information Systems in Murray, Utah.
 
Continue reading "CMS releases update to correct and clarify comprehensive APC payments" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the May issue.



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