July 2003 update of OPPS and OCE
APCs Weekly Monitor, June 27, 2003
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CMS issued July 2003 update of OPPS and OCE PM A-03-051, an OPPS update, was released on June 13, 2003. Here are some of the highlights: Code changes:
To read the complete PM A-03-051, check out CMS Central on HCProCoder.com. Don't forget to review the July OCE changes in PM A-03-048 while you are there. Your APCs Weekly Monitor is a free weekly e-zine from HCPro, publisher of Briefings on APCs, the monthly newsletter devoted entirely to managing under APCs, and the newsletter, APC Answer Letter, with answers to readers' questions about coding for APCs. The Monitor is a complimentary companion publication with a specific mission: to provide answers to your tough questions about the APC regulations. If you have a question about APC coding that you would like addressed
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TODAY'S TOPIC: Coding pre-op work Question: A patient comes to the hospital for pre-operative work up for outpatient surgery.The patient has the actual surgery the following day. Would it be appropriate to charge the V72.84 code in addition to the surgical code? Answer: If there are pre-operative diagnostic tests performed on a day other than the surgery, then V72.84 is an appropriate code to add to the case. To determine the validity of using the V-code, ask yourself these questions:
TIP OF THE WEEK: Correctly code and bill for heel pad injection ASK THE EXPERT: We are a cardiology practice that has several stand-alone testing facilities. Does the HIPAA privacy rule require us to hand patients our privacy notice and have them sign an acknowledgement of receipt when they have testing that requires no office visit? Click here for the answer!
PAY PER VIEW: Every time your ED doors swing open for a patient, potential facility revenue could be flying right out. According to Frank Freeze, LPN, CCS, CPC-H, hospital are losing hundreds of thousands of dollars in reimbursement from their EDs alone. Read how to track data and discover where your facility financial leaks are. Read more here.The cost is $10. Briefings on APCs subscribers have free access via their online subscriptions. Questions from readers are answered by a team of experts working in the APC area within the health care industry. Their answers are provided as advice. Readers should consult the federal regulations governing OPPS, related CMS sources, and with their local fiscal intermediary before making any decisions regarding the application of OPPS to their particular situations. SIGN UP FOR A FREE TRAINING Sign up for your complimentary subscription to HCProCoder Connection today and you're on your way to better compliance with the OIG, CMS, and other regulatory standards. Every two weeks you'll get the latest issue delivered right to your inbox. Each edition will feature a training quiz to keep you sharp on correct coding. The first issue was launched June 4. Subscribe here now! EDITOR'S CHOICE There's one thing you can count on in the world of OPPS and APCS: The rules keep changing. That's why we're bringing you an important audioconference, "OPPS 2003 and 2004 Changes and Challenges: Tools for Success," on July 8 beginning at 1 p.m. Eastern. You'll get tools to strengthen your OPPS and APC coding and reimbursement. As the months roll by in 2003, new program memos present changes to the final rule. The 2004 proposed rule will present more challenges in the coming months. To register or to learn more, CLICK HERE or call our customer service department at 800/650-6787. Be sure to mention source code EZ1195B. Looking for a solid reference on appropriate modifier use? Try the new "The Modifier Clinic" book Lolita M. Jones, RHIA, CCS, has been writing a monthly column on proper modifier use in "Briefings on APCs" since 2000. Now you can have a desktop reference from Jones and HCPro in her new book, "The Modifier Clinic: A Guide to Hospital Outpatient Issues." Jones addresses crucial operational issues associated with modifier reporting using practical exercises, case studies, and detailed figures. She reviews Medicare's official guidelines for reporting modifiers on outpatient claims, and also gives readers a detailed question and answer section addressing the industry's most frequently asked questions. For more information CLICK HERE. Save 10% when you order online! You may also call our Customer Service Team at 800-650-6787. Be sure to mention source code EB1489B when you call. Want to receive articles like this one in your inbox? Subscribe to APCs Weekly Monitor! Related ProductsMost Popular
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