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code aded to inpatient only list for calendar year 2015 opps

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By , July 15, 2015 3:51 am
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  • code aded to inpatient only list for calendar year 2015 opps

    http://www.abbottvascular.com/docs/reimbursement/OPPS_Guide_2015.pdf
    OPPS – Abbott Vascular
    Jan 1, 2015 … Update for Calendar Year (CY) 2015.1 The information in this document is
    effective … New CPT Codes Added to OPPS Inpatient Only List.

    http://www.aha.org/advocacy-issues/letter/2014/140827-cl-cms1613p.pdf
    August 27, 2014 Marilyn B. Tavenner Administrator Centers for …
    Aug 27, 2014 … (CMS) proposed rule for the calendar year (CY) 2015 hospital outpatient and
    ambulatory … to the inpatient-only list; changes to the proton beam radiation
    therapy …. Revising the add-on code packaging policy established in CY 2014 by
    packaging all add- … As noted in our comments on the CY 2014 OPPS.

    http://information.medassets.com/rs/medassets/images/CCFN-2015-January.pdf
    January 2015 Hospital Outpatient Prospective Payment … – MedAssets
    Jan 1, 2015 … From new HCPCS codes to replacement CPT® codes … discontinued
    procedures, you'll have a complete inventory of OPPS … for 2015. Beyond just
    listing all the changes, Guilbeau provides you with …. For calendar year (CY)
    2015, CMS will terminate two ….. added the element of “time” to its definition and.

    http://www.cordis.com/sites/default/files/pdfs/HE-R/23197%20-%20FINAL_2014%20Cardiac%20and%20Vascular%20Guide.pdf
    2014 Cordis® Cardiac & Vascular Procedures Reimbursement Guide
    Aug 2, 2013 … information purposes only and represents no statement, promise or guarantee ….
    Beginning with fiscal year 2015, hospitals that do not participate will lose one-
    quarter of the …. codes used in the inpatient setting to report percutaneous ….. A
    total of twenty-three SIs are listed in the calendar year 2014 OPPS …

    http://www.bostonscientific.com/content/dam/bostonscientific/Reimbursement/IC/Final_OPPS_CRV-278904-AA_NOV2014.pdf/
    CY2015 Medicare Final Rules for OPPS, ASC … – Boston Scientific
    (See Table 1 for a list of interventional cardiology combination codes). It should
    also be noted that this payment is $2,766 greater than the national average for
    inpatient MS-DRG 247 Percutaneous … The resulting year-over-year hospital
    payment increase is ~ $5,788 or 23% … ICD PG only payment rates decrease by
    11.3%.

    http://www.cgsmedicare.com/hhh/pubs/mb_hhh/2015/j15_hhh_02-15.pdf
    Medicare Bulletin – February 2015 – CGS Medicare
    Feb 2, 2015 … Descriptions and other data only are copyrighted 2009 American Medical …
    Payment System (OPPS) … MM9034: Summary of Policies in the Calendar. Year
    (CY) 2015 Medicare Physician Fee ….. Table 5: CY 2015 LUPA Add-On factors
    ….. provided under Section 1834(k)(5) of the Act, a therapy code list …

    http://www.accc-cancer.org/oncology_issues/articles/JF15/JF15-COMPLIANCE-Published-before-Print-12-11-14.pdf
    Oncology Reimbursement Update 2015 – Association of Community …
    Guidelines: “military history” has been added as one of the items … in calendar
    year (CY) 2015, but it will consider separate … File for 2015 lists the code as
    S0832.) … are now only three codes for treatment delivery at …. OPPS will be
    approximately $56.1 billion in CY. 2015, an …. inpatient hospital services under
    the name,…

    http://www.dhs.state.mn.us/main/groups/publications/documents/pub/dhs16_189135.pdf
    Changes to DHS BRASS Manual for Calendar Year 2015
    Jan 1, 2015 … The changes in this bulletin list the current BRASS codes and their … has been
    changed or added for six (6) BRASS codes for 2015. …. 473x Acute Care
    Hospital Inpatient ….. Specialized supplies and equipment (CAC, CADI, BI only)
    … Opportunities for personal growth and development which enable …

    http://www.chausa.org/docs/default-source/advocacy/071414-summary-of-proposed-fy2015-opps-rule.pdf?sfvrsn=2
    proposed rule – Catholic Health Association of the United States
    Jul 14, 2014 … 1 Henceforth in this document, a year is a calendar year unless … Proposed
    Procedures That Would Be Paid Only as Inpatient Procedures… … C. Proposed
    update to the Lists of ASC Covered Surgical Procedures and …. OPPS, including
    codes that would be affected by the proposed 2015 OPPS expanded.

    http://www.cahabagba.com/documents/2015/01/february-2015-medicare-newsline.pdf
    February 2015 – Cahaba GBA
    Feb 2, 2015 … Fiscal Year (FY) 2015 Inpatient Prospective Payment … Rate Update for
    Calendar Year (CY) 2015. … Prospective Payment System (OPPS)… …. add us to
    your contact lists, adjust your spam settings, or follow the ….. Note that Medicare
    pays claims with code G0473 only when submitted by the following.

    http://www.nimitt.com/_images/_PRTdocs/PRT_CY_2015_OPPS_Proposed-Rule_Comments.pdf
    PRT OPPS Comments
    Apr 5, 2014 … for one year in order to work on a complexity adjustment; we request CMS to
    delay the …. assigned to a device-dependent APC for CY 2015. … Add-on Codes
    have been packaged services since January 2014 and we acknowledge that …..
    OPPS and has remained off the Inpatient-only List since then.

    https://www.acponline.org/advocacy/where_we_stand/assets/summary_of_cy2015__proposed_rule_physician_fee_schedule.pdf
    Summary of the Proposed Medicare Physician Fee Schedule Rule …
    In prior years CMS has expressed concerns about the accuracy of the information
    they use … idea was to use the Outpatient Prospective Payment System (OPPS)
    and ….. hour (list separately in addition to code for office or other outpatient
    evaluation ….. on 2015 reporting data) and each subsequent calendar year
    payment.

    http://www.hca.wa.gov/medicaid/billing/documents/guides/outpatient_hospital.pdf
    Download – Health Care Authority
    Apr 1, 2015 … This publication takes effect April 1, 2015, and supersedes earlier … Inpatient
    Hospital Services … What is the outpatient prospective payment system (OPPS)
    payment … about outpatient hospital services provided within one calendar day
    of ….. code S2900 and reimburses only for the underlying procedure.

    https://www.facs.org/ahp/cy-2013-opps-asc-comment-letter.pdf
    CY 2013 ACS OPPS/ASC Comment Letter – American College of …
    Aug 31, 2012 … calendar year (CY) 2013 proposed rule: Hospital Outpatient Prospective and.
    Ambulatory … that involve not only angioplasty, but also stent placement.
    Moreover … We urge CMS to add the codes below to the inpatient list because
    they should only be ….. 2014 OQR Measure; ASC-7: 2015 ASCQR Measure).

    http://www.plasticsurgery.org/Documents/Health-Policy/Coding-Payment/hopps-proposed-rule-2015.pdf
    CY 2015 HOPPS Proposed Rule – American Society of Plastic …
    Jul 1, 2014 … prospective payment system (OPPS) and the Medicare ambulatory surgical
    center … for hospital inpatient admissions only for long-stay cases and outlier
    cases; and changes …. Calendar year …. Described by Add-On Codes …. Policies
    Governing Changes to the Lists of Codes and Payment Rates for ASC.

    https://www.noridianmedicare.com/je/partb/bulletins/medicare_b_news_september_2014.pdf
    Medicare B News – Noridian Home
    Sep 2, 2014 … CMS Proposes OPPS And ASC Quality Changes For 2015 . … Category III CPT
    Codes Supplemental Instructions Retirement – ….. are added throughout the
    quarter, (electronic mailing list) at …. Under this proposal, valid only for the 2014
    reporting year, providers ….. elements, for all inpatient admissions.

    http://rcbp.coventryhealthcare.com/web/groups/public/@cvty_mailhandlers_mhbp/documents/webcontent/a052694.pdf
    Health Benefits Resource Guide 2015 – MHBP
    This brochure is provided for descriptive purposes only. Please refer …
    precertification of inpatient admissions and may … A formulary is a list of
    prescription drugs … typically apply on a per-calendar-year basis and can …
    Expand your coverage when you add one … Affordable monthly rates — based
    on your home ZIP code:.

    http://www.medpac.gov/documents/comment-letters/medpac-comment-on-cms-s-proposed-rule-for-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment-systems-and-quality-reporting-programs.pdf?sfvrsn=0
    MedPAC comment on CMS's proposed rule on hospital outpatient …
    Aug 26, 2014 … As you know, the outpatient prospective payment system (OPPS) … also
    estimates the calendar year 2015 update to the conversion factors … CMS has
    proposed that the only costs on a claim with a HCPCS code that maps to a C-
    APC that … In this rule, CMS has proposed to add two categories to the list of …

    http://www.empireblue.com/provider/noapplication/f5/s1/t2/pw_e230182.pdf?refer=ehpprovider
    February 2015 – Empire Blue Cross Blue Shield
    Feb 1, 2015 … Expanded List of Outpatient Procedures for … Long Term Acute Care and
    Inpatient Rehab … Pathway regimens for other malignancies may be added in
    2015. ….. You would need to bill the appropriate delivery only code (either 59409,
    …. services please bill the dates of services using calendar year format.

    http://www.qualityreportingcenter.com/wp-content/uploads/2015/01/OQR_012115-SpecificationsManual_3s.pdf
    OQR Webinar 012115 – Quality Reporting Center
    Jan 9, 2015 … The list of hospitals selected for calendar year. (CY) 2016 … February 1, 2015, is
    the next deadline for Clinical … Updated Postal Code. 9. 1/21/2015 … Added OP-
    32 Facility 7-Day Risk-Standardized … only be nine months; the table has not
    been adjusted …. “Finalized in the CY 2015 OPPS/ASC final rule,.

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