AHA Coding Clinic® for HCPCS - 2008 Quarter 2; FOR your INFORMATION
Instructions for revenue code reporting
Neither CMS nor Coding Clinic for HCPCS provides instructions to hospitals on the assignment of HCPCS codes to revenue codes for services provided under the outpatient prospective payment system (OPPS). Please note, that CMS has deleted previous language that provided guidance on HCPCS code and revenue code billing but has emphasized that the revenue code needs to match to the appropriate cost center where the expense was incurred. For additional information go to www.hhs.gov/download/clm104c04.pdf, Pub 100-04, Chapter 4, § 20.5 . ...
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Article Overview
This article explains the scope of available CMS and Coding Clinic guidance on revenue code reporting for outpatient hospital services under OPPS. It is intended for hospital coders, billing staff, and revenue cycle teams who need a general understanding of how these reporting topics are addressed in official guidance and where to look for related CMS materials.
Why This Topic Matters
Revenue code reporting affects hospital billing and cost center alignment, so understanding the limits of formal guidance helps staff review their internal processes and reference the appropriate CMS source material.
What You Will Learn
- The general subject of revenue code reporting in outpatient hospital billing.
- How the article frames CMS and Coding Clinic guidance on HCPCS and revenue code assignment.
- Where the article points readers for additional CMS reference material.
- The broad billing context associated with OPPS and hospital cost centers.
Who Should Read This
- Hospital coders
- Outpatient hospital billing staff
- Revenue cycle professionals
- Compliance staff
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