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TMB1965

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What does this mean "Bill OPPS Medicare Charges" I'm lost, so any help as to what this means would be greatly appreciated! :confused:
 
Outpatient Prospective Payment System "OPPS" Seems like it's asking for you to bill the outpatient hospital charges.

I'd have to know a little more about what you're trying to bill in regards to this question.
 
The original charges were 99212 with 11900 for a surgical office, and now I'm being told they need to be billed with the appropriate OPPS Medicare charges. Are they maybe referring to charges for the facility too?
 
A surgical physician office would not bill under OPPS. Are you in an outpatient setting? What POS did you bill with? Are you set up to bill as a CMS 1500 claim or the UB04 claim? Who is the one telling you to bill this way?
 
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