In CMS
Nov 4th, 2008
The Outpatient Prospective Payment System/Ambulatory Surgical Center Payment System (OPPS/ASC) 2009 final rule includes a 3.6 percent annual inflation update for hospital outpatient departments (HOPDs), but sets the ASC update at 0 percent. The Centers for Medicare & Medicaid Services (CMS) projects final 2009 payment rates under the OPPS will result in a 3.9 percent ...
In Billing
Oct 13th, 2008
The rapid growth of imaging services paid for under the Medicare Part B physician fee schedule (MPFS) has slowed since Congress implemented a cap on the hospital outpatient prospective payment system (OPPS), but it has not limited access to Medicare beneficiaries, according to a Government Accountability Office (GAO) Sept. 26 report. In accordance with the ...
In CMS
Sep 29th, 2008
Appending modifier 52 (Reduced Services) to a radiology service procedure code does in fact reduce payment by 50 percent. Don’t let an outdated version of the 2008 Outpatient Prospective Payment System (OPPS) fool you. You’ll find several other corrections and clarifications the Centers for Medicare & Medicaid Services (CMS) made to the 2008 OPPS in ...
Apr 1st, 2008
Avoid confusion by knowing where HCPCS comes from. By Brad Ericson, MPC, CPC, COSC There are few measures of the coding community’s breadth as wide as the Healthcare Common Procedure Coding System (HCPCS) Level II codes, one of the official HIPAA code sets. Publicly compiled from a number of different sources and used in a ...
Apr 1st, 2008
www.cms.hhs.gov By Linda Templeton, CPC, CPC-H, CCS-P We all know how frustrating it is to complete a project when you don’t have the right tools. The most skilled in a trade find themselves collecting so many tools that it’s hard to remember where the most basic and useful items are. As coders, we are bombarded ...