Health Information Management

Tip: CMS proposes expanding packaging in 2015

APCs Insider, September 12, 2014

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

CMS has included several proposals in the 2015 OPPS proposed rule that would expand packaging, a common theme for the OPPS in recent years.
With device-dependent add-on codes to be paid through Comprehensive APCs, CMS has proposed to package the add-on codes assigned to device-dependent APCs starting in 2015. These codes are listed in Table 9 of the proposed rule.
CMS proposes to package and change the status indicator from A (services furnished to a hospital outpatient paid under a fee schedule or payment system other than OPPS) to N (items and services packaged into APC rates) for all durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).
CMS says this is consistent with changes finalized in 2014 for all non-prosthetic DMEPOS supplies (with the status indicator changed from A to N). If this proposed change is finalized for 2015, then all medical and surgical supplies would be packaged in OPPS.
This tip is adapted from “CMS reintroduces Comprehensive APCs along with complexity adjustments” in the September issue of Briefings on APCs.

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular