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Thread: Opps

  1. #1
    Join Date
    Apr 2007
    Greeley, Colorado

    Question Opps

    AAPC: Back to School
    Where does it state that the OPPS applies to physician offices?
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    I don't think it does say that anywhere. Isn't OPPS for outpatient facilities??
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    OPPS is outpatient facility. It stands for Outpatient Prospective Payment System. It does not apply to physician billing.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Greeley, Colorado

    Thumbs up

    Exactly! I have an insurance trying to deny a claim based on OPPS guidelines, and it is a PHYSICIAN claim. Just wanted to see if I missed something all these years! Thank you ladies!!!!
    Lisa Bledsoe, CPC, CPMA

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