Observation or inpatient? It sounds like a simple question, but it continues to be a sticky area for most facilities. If your organization is having trouble correctly assigning every patient, you're not alone.
CMS released a number of proposed changes to the outpatient prospective payment system (OPPS) July 8. The 2014 OPPS proposed rule (available at http://tinyurl.com/oyu33jx) is shorter than normal at 718 pages, but the proposed changes are significant and probably the most sweeping since the inception of OPPS, says Jugna Shah, MPH, president and founder of Nimitt Consulting in Washington, D.C.
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.
E/M coding and reimbursement for hospital outpatients could change dramatically if CMS finalizes its proposal to replace current E/M CPT® codes with three G-codes.
