CMS Issues 2009 OPPS Update

The Centers for Medicare & Medicaid Services (CMS) recently issued January 2009 updates to the Outpatient Prospective Payment System (OPPS).

The Dec. 31, 2008 recurring notification update to the Medicare Benefit Policy Manual, Pub.100-02, Chapter 6, § 20.3, 20.4.4, 20.5.1, 20.6 and 70.3 clarifies:

  • The meaning of a hospital outpatient “encounter;”
  • Coverage of outpatient diagnostic services;
  • Coverage of outpatient therapeutic services incident to a physician’s service furnished on or after Aug. 1, 2000;
  • Outpatient observation services; and
  • Partial hospitalization services.

For details, read Transmittal 100, CR6320 on the CMS Web site.

The Dec. 31, 2008 recurring notification update to Chapter 4, Sections 10, 20, 50, 61, 70, 160.1, 180.3, 200, 260, and 290; Chapter 17, Section 90.2; and Chapter 32, Sections 67, 68, and 69 describes changes to and billing instructions for various payment policies implemented in the January 2009 OPPS update.

For details, read Transmittal 1657, CR6320 on the CMS Web site.

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One Response to “CMS Issues 2009 OPPS Update”

  1. Satch says:

    Hahahaha. I’m not too brgiht today. Great post!

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