CMS refined and updated its Comprehensive APC policy in the 2015 OPPS proposed rule released July 3, adding a new complexity adjustment factor. CMS also proposes significantly expanding the packaging of ancillary services. Additionally, the proposed rule includes a significant change to requirements related to inpatient physician certification.
CMS wants your thoughts on the 2015 OPPS proposed rule changes. In various places in the proposed rule, CMS specifically asks providers to comment on the proposals. You may submit comments to the agency until September 2.
Modifier -25 (significant, separately identifiable E/M service by the same physician on the day of a procedure) is used to distinguish visits from procedures on the same day.
It is not used to distinguish observation from a visit service on the same day.
This week’s updates include updates to the ambulatory surgical center payment system and revisions of IPPS. Click the link above to read more about this week’s updates.
This week’s updates include new information on the reopening of claims and critical access hospital (CAH) equipment maintenance requirements. Click the link above to read more about this week’s updates.
