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APCs Insider

This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations. Topics include the outpatient code editor (OCE), complex coding issues, beneficiary co-payment discounting, and cross-department APCs tracking.

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Issue 50, December 28, 2003

• Testing technique may affect tab

  Testing technique may affect tab

Issue 49, December 18, 2003

• Calculating observation hours

  Calculating observation hours

Issue 48, December 18, 2003

• Epinephrine via endotracheal tube

  Epinephrine via endotracheal tube

Issue 47, December 4, 2003

• Category C codes make a comeback

  Category C codes make a comeback

Issue 46, November 21, 2003

• Failed Foley insertion

  Failed Foley insertion

Issue 45, November 13, 2003

• Capsule colonoscopy

  Capsule colonoscopy

Issue 44, November 6, 2003

• Rabies vaccine status 'N'

  Rabies vaccine status ’N’

Issue 43, October 28, 2003

• Fracture care without follow-up

  Fracture care without follow-up

Issue 41, October 16, 2003

• Coding cardiac vs. peripheral stent placement

  Coding cardiac vs. peripheral stent placement

Issue 40, October 27, 2003

• Using modifier -74

  Using modifier -74

Issue 39, October 27, 2003

• Use these links to verify information concerning ICD-9 procedure codes for outpa

  Use these links to verify information concerning ICD-9 procedure codes for outpatient claims

Issue 38, September 27, 2003

• ICD-9 procedure code clarification

  ICD-9 procedure code clarification

Issue 37, September 27, 2003

• If you use ICD-9 procedure codes for outpatients claims being sent for payment,

  If you use ICD-9 procedure codes for outpatients claims being sent for payment, you shouldn't be

Issue 36, September 27, 2003

• Medicare payment could rise for innovative drugs

  Medicare payment could rise for innovative drugs

Issue 35, September 27, 2003

• October OPPS Update

  October OPPS Update

Issue 34, August 22, 2003

• New OCE does more than edit

  New OCE does more than edit

• Wound coding

  Wound coding

• OIG review finds outlier payment errors in one of the nation's top hospitals

  OIG review finds outlier payment errors in one of the nation’s top hospitals

Issue 33, August 24, 2003

• Eye flush is included in E/M facility code

  Eye flush is included in E/M facility code

• New OCE does more than edit

  New OCE does more than edit

Issue 32, August 15, 2003

• Summary of 2004 proposed rule

  Summary of 2004 proposed rule

Issue 31, August 27, 2003

• Proposed 2004 OPPS rule

  Proposed 2004 OPPS rule

• Proposed 2004 OPPS rule

  Proposed 2004 OPPS rule

Issue 30, August 28, 2003

• Outpatient dialysis codes change

  Outpatient dialysis codes change

Issue 29, July 27, 2003

• New patient status code 43 requirements

  New patient status code 43 requirements

Issue 28, July 23, 2003

• AMA releases CPT Category III codes

  AMA releases CPT Category III codes

Issue 27, July 27, 2003

• Second drug-eluting stent in approval process

  Second drug-eluting stent in approval process

Issue 26, July 8, 2003

• First E/M guidelines draft submitted to CMS

  First E/M guidelines draft submitted to CMS

Issue 25, June 27, 2003

• 0016T now pays $260.24

  0016T now pays $260.24

Issue 24, June 27, 2003

• July 2003 update of OPPS and OCE

  July 2003 update of OPPS and OCE

Issue 23, June 27, 2003

• FI policies differ in coding Q0081

  FI policies differ in coding Q0081

Issue 22, June 6, 2003

• OPPS proposed rule out this summer

  OPPS proposed rule out this summer

Issue 20, May 28, 2003

• July 1 projected effective date for drug-eluting stent codes

  July 1 projected effective date for drug-eluting stent codes

Issue 19, May 28, 2003

• Check with your FI

  Check with your FI

Issue 18, May 28, 2003

• Revenue codes 0274 and 0290 removed from OPPS

  Revenue codes 0274 and 0290 removed from OPPS

Issue 17, May 28, 2003

• FDA approves drug-eluting stent

  FDA approves drug-eluting stent

• asd

  asd

Issue 15, April 2, 2003

• New CPT codes coming in July

  New CPT codes coming in July

Issue 14, April 11, 2003

• Wound repair, observation and E/M level coding

  Wound repair, observation and E/M level coding

• Who can assign E/M level coding?

  Who can assign E/M level coding?

Issue 13, April 2, 2003

• Two new PMs bring changes

  Two new PMs bring changes

Issue 12, March 28, 2003

• HCPCS code should not cause edit

  HCPCS code should not cause edit

Issue 11, March 26, 2003

• HCPCS and bundling procedures

  HCPCS and bundling procedures

Issue 9, March 28, 2003

• CMS February 10 changes to OPPS

  CMS February 10 changes to OPPS

Issue 8, February 27, 2003

• Coding for breast reconstruction can be complicated

  Coding for breast reconstruction can be complicated

Issue 7, February 25, 2003

• Top APCs are too facility-specific to predict

  Top APCs are too facility-specific to predict

• Top APCs are too facility-specific to predict

  Top APCs are too facility-specific to predict

Issue 6, February 13, 2003

• Which rate schedule pays for outdated codes?

  Which rate schedule pays for outdated codes?

Issue 5, February 7, 2003

• The window of opportunity for missed C-codes

  The window of opportunity for missed C-codes

Issue 4, February 3, 2003

• Number of deleted pass-through codes drop

  Number of deleted pass-through codes drop

• Number of deleted pass-through codes drop

  Number of deleted pass-through codes drop

Issue 1, January 21, 2003

• Using revenue codes, not HCPCS

  Using revenue codes, not HCPCS

Issue 21, May 28, 2003

• Codes subject to OCE Edit 15 named

  Codes subject to OCE Edit 15 named

• Codes subject to OCE Edit 15 named

  Codes subject to OCE Edit 15 named

Issue 4, January 28, 2003

• How are hospitals going to handle the new self-administered

  How are hospitals going to handle the new self-administered "supply drug" coding? I can't see...

Issue 44, November 7, 2003

• E/M guidelines not expected until 2005

  E/M guidelines not expected until 2005

Issue 2, January 21, 2003

• Flu shot in January, no pay til July

  Flu shot in January, no pay til July

Issue 42, September 24, 2003

• CCI edits and the OCE

  CCI edits and the OCE

Issue 32, August 12, 2003

• Outpatient dialysis codes change

  Outpatient dialysis codes change

Issue 24, June 17, 2003

• FI policies differ in coding Q0081 with chemotherapy

  FI policies differ in coding Q0081 with chemotherapy