AHA Coding Clinic® for HCPCS - 2004 Quarter 2; FOR your INFORMATION
Additional outpatient services now eligible for payment
In a recent news release by the Centers for Medicare & Medicaid Services (CMS) on April 6, 2004, CMS has authorized hospitals to receive special payments for three additional drugs under the Outpatient Prospective Payment System (OPPS). The drugs identified for the special pass-through payments are as follows: Daptomycin—an injectable antibiotic for serious staph infections. Hospitals will receive payment of $0.31 per l mg; Risperidone—an injectable antipsychotic. Hospitals will receive payment of $131.86 per 12.5 mg; and Rasburicase—an injectable treatment for high uric acid levels that may result from certain cancer treatments. Hospitals...
Subscribe or sign in to view the full article.
Article Overview
This article summarizes a CMS announcement about outpatient payment updates under the OPPS. It covers newly eligible pass-through payments for selected drugs and new-technology payments for several outpatient procedures and devices, and it is most relevant to hospital outpatient coders, billing staff, and revenue cycle professionals monitoring Medicare outpatient reimbursement changes.
Why This Topic Matters
The article highlights Medicare outpatient payment policy updates that can affect hospital billing and reimbursement planning. Readers who code or bill outpatient services may want to know which categories of services were newly recognized for separate payment and when the changes took effect.
What You Will Learn
- How CMS communicated outpatient payment updates for hospital services
- What types of outpatient drugs and technologies were included in the announcement
- How OPPS-related payment changes can affect hospital outpatient reimbursement workflows
- Which service categories were identified as newly eligible for separate payment
Who Should Read This
- Hospital outpatient coders
- Outpatient billing staff
- Revenue cycle professionals
- Medicare reimbursement specialists
- Health information management professionals
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com