AHA Coding Clinic® for HCPCS - 2001 Quarter 4
New HCPCS codes for drugs and blood products
AProgram Memorandum (PM), Transmittal A-01-107 was published recently which provided a listing of certain changes to the hospital OPPS for the October 2001 update. These changes include revised APCs for certain new technology procedure/services, two new drugs eligible for passthrough payments, one new blood product reportable under OPPS, and revised payment rates for two drugs eligible for pass-through payments. To receive transitional passthrough payments or new technology payments, qualified items and services must be considered reasonable and necessary in a given case. These changes became effective October 1, 2001. I. New technology procedure/service ambulatory payment classification (APC) HCPCS CODE...
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Article Overview
This article covers a Medicare OPPS update published through Program Memorandum A-01-107 for October 2001. It outlines changes affecting new technology procedure/services, new drugs eligible for pass-through payment, a new blood product reportable under OPPS, and revised payment rates for selected items. The content is relevant to hospital outpatient coding, HCPCS reporting, APC changes, and OPPS payment updates.
Why This Topic Matters
Hospitals, outpatient coders, and revenue cycle staff need to track OPPS updates because they affect reporting, APC assignment, and payment-related processing for new services, drugs, and blood products.
Article Sections
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Program Memorandum overview and effective date
Introduces the Medicare outpatient update and the general categories of changes included in the notice. It also identifies the effective date of the update.
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New technology procedure/service APC
Presents the new technology service category covered in the update and the associated APC information.
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Revised new technology procedure/service APCs
Summarizes APC revisions for selected new technology services. The section focuses on updated classification information.
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New drugs eligible for pass-through payments
Lists newly included drug items addressed in the update and their payment-related information under OPPS.
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New blood product reportable under OPPS
Identifies the new blood product included in the OPPS update and the associated payment information.
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Revised payment rates for two drugs eligible for pass-through payments
Covers payment revisions for selected drug items already eligible for pass-through payment. The section highlights updated payment-related details.
What You Will Learn
- What types of OPPS changes were included in the October 2001 update
- How the article is organized around new technology, drugs, and blood products
- Which broad HCPCS reporting categories were affected by the update
- What general payment-related information is presented for the listed items
Who Should Read This
- Hospital outpatient coders
- Outpatient revenue cycle staff
- Medical billing professionals
- Compliance staff
- Healthcare reimbursement analysts
Codes Discussed
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