CMS Updates OPPS Pricer File

The Centers for Medicare & Medicaid Services (CMS) has updated the 2012 first quarter Outpatient Prospective Payment System (OPPS) pricer file. The PC Pricer is a tool used to estimate Medicare PPS payments. The file had to be updated to reflect corrections recently made to the OPPS 2012 final rule and also the change to the conversion factor resulting from the passage of the Temporary Payroll Tax Cut bill that delayed the physician pay cut.

Providers may now access the January provider data update by selecting 2012, and then downloading “1st Quarter 2012 Files” from the Outpatient PPS Pricer web page.

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The files, updated Jan. 19, include all the data necessary for the Outpatient Code Editor and other claims management systems to remain current for services performed on or after Jan. 1, 2012.

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