Health Information Management

Tip of the week: Bill packaged services

APCs Insider, March 16, 2007

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

Although providers do not receive additional reimbursement for providing the packaged service, it is important to bill them for a number of reasons, including to

  • ensure accurate Medicare claims data that will help CMS accurately pay hospitals in the future
  • accurately capture your hospital's utilization of resources
  • ensure that your hospital receives credit for the cost of that item if there is an outlier payment--or some other cost-based payment--available for the case

And in light of the fact that CMS announced in its 2007 final rule for the outpatient prospective payment system (OPPS) that it will pay separately for six normally packaged codes when they are the only service that providers report without any other separately payable item on the claim, it's more important now than ever that coders distinguish between bundled versus packaged service in the hopes that additional codes might be added to this list in the future.



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