News & Analysis

October 1, 2013
Briefings on APCs

CMS added modifier -AO (provider declined alt payment method) and new HCPCS codes to the I/OCE as part of the October 2013 quarterly update found in Transmittal 2763.

September 1, 2013
Briefings on APCs

The 2014 OPPS proposed rule is shorter than normal at 718 pages, but the proposed changes are significant and probably the most sweeping changes since the inception of OPPS, says Jugna Shah, MPH, president and founder of Nimitt Consulting.

August 1, 2013
Briefings on APCs

Eight CPT® codes for multianalyte assays with algorithmic analyses (MAAA) procedures are now classified as not covered under OPPS (status indicator E), retroactive to January 1, 2013. These codes are now subject to I/OCE edit 9.

December 1, 2012
Briefings on APCs

The Hospital Outpatient Payment Panel recommended CMS change the supervision requirements for 15 HCPCS and CPT codes during its second meeting this year in ­August. CMS released details of the meeting September 24.

November 1, 2012
Briefings on APCs

CMS made two manual corrections as part of the OPPS update for October 2012 and included a number of small changes to both OPPS and the I/OCE.

September 1, 2012
Briefings on APCs

CMS proposes extending non-enforcement of supervision requirements, asks for comments on observation services as part of 2013 OPPS proposed rule.