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Recent Posts

  1. Corrections to January Quarterly OPPS Update; January OCE Review

    Posted Tue, 24 Jan 2012

    This week CMS rescinded and replaced the January (outpatient prospective payment system) OPPS Update Transmittal with three important changes and/or corrections for affected providers.

  2. Claims processing and payment changes under the CY 2012 OPPS final rule

    Posted Tue, 17 Jan 2012

    The January OPPS update included a discussion of the composite payment for cardiac resynchronization therapy, payment window for outpatient services treated as inpatient services, and use of modifiers ...

  3. Benefit policy changes under the CY 2012 OPPS final rule

    Posted Tue, 10 Jan 2012

    The most significant changes to coverage and reimbursement under the Outpatient Prospective Payment System (OPPS) are implemented at the start of each calendar year.  In addition to the final rule, ...

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