Health Information Management

Pay-per-view: Correctly bill for free, reduced-cost devices

APCs Insider, November 4, 2011

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Most devices are considered integral to the procedure being performed, which means that without the device, the physician wouldn't perform the procedure. These devices have status indicator N and are packaged into the OPPS payment for the procedure.

Even though facilities do not receive separate reimbursement for the device, they should always report the cost of the device on the bill, says Debbie Mackaman, RHIA, CHCO, regulatory specialist for HCPro, Inc., in Danvers, MA. CMS uses this information to calculate outlier payments and set payment rates.

"You don't want to report inflated costs and charges on your claim and risk triggering an outlier payment to which you are not entitled," Mackaman adds.

Continue reading “Correctly bill for free, reduced-cost devices” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the November issue.



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