Posts tagged: CY

code added to the inpatient only list for 2015 according to the cy 2015 opps rule

comments Comments Off
By , July 14, 2015 8:14 pm
  • AARP health insurance plans (PDF download)
  • Medicare replacement (PDF download)
  • AARP MedicareRx Plans United Healthcare (PDF download)
  • medicare benefits (PDF download)
  • medicare supplemental insurance (PDF download)
  • medicare coverage (PDF download)
  • medicare supplement plans (PDF download)
  • aarp life insurance (PDF download)
  • aarp insurance (PDF download)
  • medicare part d (PDF download)
  • medicare part b (PDF download)
  • code added to the inpatient only list for 2015 according to the cy 2015 opps rule

    http://www.californiahia.org/sites/californiahia.org/files/docs/CDQarticles/2014-02-review-medicare-outpatient-pps-final-rule-for-2014.pdf
    Review of the Medicare Outpatient Prospective Payment System …
    Center (ASC) payment system Final Rule on November 27, 2013, and it became
    effective January1, 2014. There are several important changes to the OPPS and
    ASC payment … Four new procedures were added to the “Inpatient Only” list for
    2014: … Two OQR program measures that were removed for CY 2015 payment …

    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 … payment system for CY 2015 to implement applicable statutory … for hospital
    inpatient admissions only for long-stay cases and outlier …. However, beginning
    with the CY 2012 OPPS/ASC proposed rule, all of …. Described by Add-On
    Codes …. Policies Governing Changes to the Lists of Codes and Payment …

    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 …
    Medicare Secondary Payer Explanation Codes … to the CMS electronic mailing
    lists. … This MLN Matters® Article is intended for Inpatient Rehabilitation Facilities
    …. As described in the CY 2015 final rule, to determine the CY 2015 …

    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 … to the inpatient-
    only list; changes to the proton beam radiation …. Revising the add-on code
    packaging policy established in CY 2014 by … that CMS accurately computed the
    weights according to the established OPPS methodology and.

    http://www.accc-cancer.org/advocacy/pdf/2015-OPPS-proposed-summary.pdf
    1 Summary of Selected Provisions of the Hospital Outpatient …
    information are available only on the CMS web site. … CMS proposes to continue
    for CY 2015 to calculate the OPPS relative payment weights … Exception;
    Physician Certification of Inpatient Hospital Services; Medicare ….. In the CY
    2014 OPPS final rule, CMS packaged add-on codes in the OPPS, with the
    exception of.

    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 … Proposed Procedures That Would Be Paid Only as Inpatient Procedures………..
    …. list of codes to be bypassed to convert multiple procedure claims to … OPPS,
    including codes that would be affected by the proposed 2015 OPPS expanded ….
    CMS will continue to add new brachytherapy source codes and …

    https://www.janssenaccessone.com/assets/medicare-hospital-outpatient-prospective-payment-system.pdf
    Medicare Hospital Outpatient Prospective Payment System (OPPS …
    Nov 10, 2014 … This document is presented for informational purposes only and is … Summary of
    Key Provisions from the 2015 OPPS Final Rule … services, including the
    associated drug administration add-on codes,”7 so changes to … applying the CY
    2017 and CY 2018 payment adjustments (see Appendix 3 for a list of.

    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 …
    Physician Fee Schedule Rule for CY 2015. Table of … idea was to use the
    Outpatient Prospective Payment System (OPPS) and … (According to the claims
    data this code is performed 40.26% of … hospital inpatient and outpatient
    prospective payment systems. …. the clinician, to include not only the telephone
    but also secure.

    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 … for 2015. Beyond just
    listing all the changes, Guilbeau provides you with …. CODES. For calendar year
    (CY) 2015, CMS will terminate two …. since the publication of the 2015 OPPS
    Final Rule. … inpatient or if the patient should be discharged from.

    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 … CY 2015 Annual Update
    for Clinical Lab Fee Schedule … Physician Fee Schedule Final Rule and
    Telehealth …. add us to your contact lists, adjust your spam settings, or follow the
    ….. Note that Medicare pays claims with code G0473 only when …

    https://www.revenuecycleinc.com/pdf/RCI_Website_CY2015_ProposedRuleSummaryHOPPSRadOnc_7.7.2014.pdf
    CY2015 Proposed Rule for Radiation Oncology – HOPPS
    Jul 7, 2014 … Conversion Factor – proposed for CY 2015 $74.176 … proposed rule for
    hospitals paid under IPPS and OPPS as a source for the … o Treatment of add-on
    codes – proposed to be assigned Status …. Medicare is also proposing to use the
    proposed Inpatient Prospective Payment System (IPPS) wage index.

    http://www.acr.org/~/media/ACR/Documents/PDF/News/2014%20HOPPS%20Proposed%20Rule%20Summary.pdf
    2014 HOPPS Proposed Rule Summary
    Jul 8, 2013 … comment period of the inpatient rule as well to express concerns and present …
    Usage of this proposed data would not only cut hospital outpatient … (4)
    Procedures described by add-on codes; … (6) Diagnostic tests on the bypass list;
    and … is contemplating a proposal for CY 2015 that would conditionally …

    http://www.wpsmedicare.com/j5macparta/news/current-communique/_files/2014-fall-cq.pdf
    Fall 2014 Part A Communique – WPS
    Dec 1, 2014 … 2015 Annual Update to the Therapy Code List (MM 8985) . … for Cost Based
    Payment CRNAs Services Furnished by OPPS … Use of CARC and RARC Rule –
    Update from CAQH CORE (MM … Pub 100-03, Chapter 1, Language-only
    Update (Revised MM …. Therapy Cap Values for CY 2015 (MM 8970) .

    http://mptrms.mckesson.com/rs/MckessonPT/images/FY15PFSfinalRulingENT.pdf
    Centers for Medicare & Medicaid Services (CMS … – McKesson
    Dec 3, 2014 … Expansion Exception; Physician Certification of Inpatient Hospital … use only,”
    and it is not intended to provide legal advice or counseling on …. CY 2015, they
    finalized the proposed rule to implement the third … In the proposed rule, CMS
    proposed to add the following services to the list of services that can.

    https://www.cookmedical.com/wp-content/uploads/2014/12/RG_RFCRG_RE_201501.pdf?905860
    Biodesign Fistula Plug – Rectovaginal Fistula 2015 – Cook Medical
    Table A – Assorted Reference Service CPT Codes CY 2015 … (ambulatory
    surgery center vs. hospital outpatient vs. hospital inpatient); and … (OPPS).
    Medicare updates its list of “approved” procedures annually. Each of … According
    to CMS: … Program; Changes to the OPPS and Calendar Year 2006 Rates; Final
    Rule.

    http://www.cap.org/apps/docs/advocacy/comments/cap-2015-fee-schedule-comments.pdf
    CAP detailed – College of American Pathologists
    Aug 29, 2014 … for CY 2015; Proposed Rule (July 11, 2014) … maintain accurate payment”, that it
    would be appropriate to use only one “G” code to … cytoplasmic, or nuclear
    marker, technical component only; each additional marker (List … The CAP and
    CMS agree that “the comparison of OPPS (or ASC) payment amounts …

    http://www.mass.gov/eohhs/docs/eohhs/healthcare-reform/updates/2014/141117.pdf
    November 17, 2014 – Mass.Gov
    Nov 17, 2014 … surgical center (ASC) payment system for CY 2015. According to CMS, the rule
    implements changes to move from a hospital OPPS and fee …

    http://hfmanj.org/images/downloads/Presentation/hfma_nj_compliance_hot_topics_presentation_mar_10__2015.pdf
    Hot Topics in Compliance Recent … – HFMA NJ Chapter
    Mar 10, 2015 … during CY 2012 through 2017 if CMS reduces hospital outpatient … According to
    BNA's Health Care Fraud Report, the following are the top … repayment rule …
    Top 10 Health Care Fraud Issues in 2015 ….. Medicare paid for inpatient hospital
    services only if a physician ….. Other OPPS changes to watch for.

    http://www.acla.com/wp-content/uploads/2013/12/082913-Letter-to-Marilyn-Tavenner-regarding-PFS-Comments-.pdf
    See Original PDF here. – American Clinical Laboratory Association
    Using OPPS and ASC Rates in Developing PE RVUs for Codes with Higher Total
    …. Medicare should pay only a reasonable amount for any service, but it strains …
    about 30 percent in the CY 2013 PFS final rule, yet the Agency now seems to
    have ….. 2015 PFS, CMS would review certain codes on the CLFS to determine …

    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 … that
    involve not only angioplasty, but also stent placement. … We urge CMS to add the
    codes below to the inpatient list because they should …. According to the CMS
    Medicare …. 2014 OQR Measure; ASC-7: 2015 ASCQR Measure).

    cy 2015 opps rule, which code was added to the inpatient only list

    comments Comments Off
    By , July 8, 2015 7:50 am
  • AARP health insurance plans (PDF download)
  • Medicare replacement (PDF download)
  • AARP MedicareRx Plans United Healthcare (PDF download)
  • medicare benefits (PDF download)
  • medicare supplemental insurance (PDF download)
  • medicare coverage (PDF download)
  • medicare supplement plans (PDF download)
  • aarp life insurance (PDF download)
  • aarp insurance (PDF download)
  • medicare part d (PDF download)
  • medicare part b (PDF download)
  • cy 2015 opps rule, which code was added to the inpatient only list

    http://www.abbottvascular.com/docs/reimbursement/OPPS_Guide_2015.pdf
    OPPS – Abbott Vascular
    Jan 1, 2015 … The rule increases payment rates under the OPPS by 2.3 percent. This increase
    is based … For CY 2015, the conversion factor is set at $74.144 for hospitals
    meeting the … New CPT Codes Added to OPPS Inpatient Only List.

    http://www.fha.org/showDocument.aspx?f=MCARE_OPPS-FR-2015-Payment-Rule-Brief.pdf
    Summary of Medicare Outpatient Prospective Payment System Final …
    The final calendar year (CY) 2015 payment rule for the Medicare outpatient …
    system (OPPS) was published in the November 10, 2014, Federal Register. …
    value is applicable in CY2015 only, and will utilize the same wage data, with 50
    ….. For CY2015, CMS is adding one service to the inpatient list: (CPT code 22222
    :.

    https://advocacy.gha.org/Portals/1/Documents/Finance/Finance%20Forum/0828%20meeting/-%20CY%2015%20OPPS%20-%20Horace%20Jenkins%20-%20DHG.pdf
    CY 2015 Medicare Outpatient Prospective Payment System (OPPS …
    Aug 28, 2014 … CY 2015 OPPS Proposed Rule. • Published in the Federal … search for file code “
    1613-P”). • CMS will … Inpatient-only List. 41012 – … Payment/AcuteInpatientPPS
    /FY2015-IPPS-Final-Rule- ….. 1 service added, none removed.

    http://www.auanet.org/common/pdf/advocacy/advocacy-in-action/HOPPS-Proposed-Rule-Draft-Comments.pdf
    here – American Urological Association
    Aug 29, 2014 … Certification of Inpatient Hospital Services; Medicare … CMS proposes to include
    in a particular year's OPPS/ASC proposed rule, codes that it has … procedures
    proposed for removal from the OPPS inpatient only list for CY 2015, CMS is …
    repeatedly requested to add the following codes to the ASC list of.

    http://www.aha.org/advocacy-issues/letter/2014/140827-cl-cms1613p.pdf
    August 27, 2014 Marilyn B. Tavenner Administrator Centers for …
    Aug 27, 2014 … to the inpatient-only list; changes to the proton beam radiation …. Revising the
    add-on code packaging policy established in CY 2014 …. again clarify in the CY
    2015 final OPPS rule that functional status G-codes do not need to.

    https://www.spine.org/Documents/ResearchClinicalCare/Comments/ScientificPolicy123014a.pdf
    NASS Comments on 2015 ASC Payment Final Rule
    Dec 30, 2014 … Payment Systems for CY 2015; Final Rule … NASS again commends CMS for
    adding CPT codes 22551, 22554, 22612, 22614, … Therefore, NASS
    recommends that CMS review the following codes for removal from the OPPS
    inpatient only list and addition to the ASC covered surgical procedures list.

    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 … 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 ….
    CMS will continue to add new brachytherapy source codes and …

    http://www.bostonscientific.com/content/dam/bostonscientific/Reimbursement/IC/IC%202015%20PPG_Nov2014_Final.pdf/
    2015 Procedural Reimbursement Guide for Select … – Boston Scientific
    Please note: this coding information may include codes for procedures for … This
    information is provided for illustrative purposes only and does not … payment for
    procedures performed in an outpatient or inpatient hospital is …. 2015 conversion
    factor of $35.8013 and CY2015 Final Rule Addendum B …… CY 2015 Final.

    http://lihima.org/events/LIHIMA-2015-OPPS-FINAL.pdf
    Presentation – Long Island Health Information Management …
    Jan 14, 2015 … reclassifications and add-ons as published in the IPPS Final Rule. • Copayments
    …. Complete list of Inpatient Only codes is available in Addendum E on …
    biologicals that are payable separately under OPPS for CY 2015.

    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 … payment system for CY 2015 to implement applicable statutory … for hospital
    inpatient admissions only for long-stay cases and outlier …. However, beginning
    with the CY 2012 OPPS/ASC proposed rule, all of …. Described by Add-On
    Codes …. Policies Governing Changes to the Lists of Codes and Payment …

    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 by
    … FY 2014 Inpatient Hospital Update: The final rule updates IPPS payment rates
    by …. The following two tables list some of the most commonly used codes for …..
    rule also removes two measures for the CY 2015 payment …

    https://www.janssenaccessone.com/assets/medicare-hospital-outpatient-prospective-payment-system.pdf
    Medicare Hospital Outpatient Prospective Payment System (OPPS …
    Nov 10, 2014 … This document is presented for informational purposes only and is … Summary of
    Key Provisions from the 2015 OPPS Final Rule … services, including the
    associated drug administration add-on codes,”7 so changes to … applying the CY
    2017 and CY 2018 payment adjustments (see Appendix 3 for a list of.

    https://www.acclarent.com/sites/default/files/pdf/MKT01940_E-BSP_Facility_Billing_Guide_2015.pdf
    2015 facility billing guide for nasal/sinus endoscopic … – Acclarent
    Some of the procedure codes for endoscopic nasal/sinus surgery and related …
    31297 apply to cases in which a balloon catheter is the only instrument/tool … on
    ASC list in CY 2007, payment based on OPPS relative payment weight; …
    Sources: Fiscal Year 2015 Medicare Inpatient Prospective Payment System,
    Final Rule.

    http://information.medassets.com/rs/medassets/images/CCFN-2015-January.pdf
    January 2015 Hospital Outpatient Prospective Payment … – MedAssets
    Jan 1, 2015 … for 2015. Beyond just listing all the changes, Guilbeau provides you with easy-to-
    read …. For calendar year (CY) 2015, CMS will terminate two …. since the
    publication of the 2015 OPPS Final Rule. … inpatient or if the patient should be
    discharged from … number D000072012 to review add-on codes 64492.

    http://www.wpsmedicare.com/j8macparta/resources/cms_resources/_files/mpfsdb_key.pdf
    National Physician Fee Schedule Relative Value File Calendar – WPS
    Jan 2, 2015 … RVUs will be used for services performed in inpatient or outpatient hospital
    settings … described in the CY 2015 final physician fee schedule regulation. The
    Medicare … codes. For carrier priced codes, the field only contains the OPPS ….
    Apply the multiple endoscopy rules to a family before ranking the.

    https://www.cahabagba.com/documents/2015/03/ask-cahaba-a-minutes-february-17-2015.pdf
    Ask Cahaba A Minutes February 17, 2015 – Cahaba GBA
    Feb 17, 2015 … questions regarding the FY 2015 Inpatient Prospective Payment …. the MUE
    value for a HCPCS code was only adjudicated against the units of …. several
    items to be eligible for new technology add-on payments. … The CR also lists 3
    additional items ….. in Addendum E of each year's OPPS/ASC final rule.

    https://cdn.optumcoding.com/upload/docs/Chargemaster_Jan_2015.pdf
    January – OptumCoding
    Jan 3, 2015 … January 2015 Quarterly Edition. Holidays … (HCPCS) codes that were effective
    January 1, 2015. … CPT code book annually and contains a complete list …
    released the calendar year (CY) 2015 Outpatient. Prospective Payment System (
    OPPS) final rule on … preventive services; and certain inpatient Part B.

    http://www.mtha.org/documents/advocacy/OPPS%20FR%202014%20Payment%20Rule%20Brief%20v1.pdf
    OPPS FR 2014 Payment Rule Brief v1.pdf – MHA – An Association of …
    Dec 10, 2013 … A brief summary of the major OPPS sections of the final rule is …. other adopted
    policies will not only shift the APC groups and weights for CY 2014, but also …. A
    list of the 29 comprehensive APCs (subject to update for CY 2015) is …. CMS will
    add 4 Laparoscopy surgical procedure codes to the inpatient list …

    http://www.acr.org/~/media/ACR/Documents/PDF/News/2014%20HOPPS%20Proposed%20Rule%20Summary.pdf
    2014 HOPPS Proposed Rule Summary
    Jul 8, 2013 … comment period of the inpatient rule as well to express concerns and present …
    Usage of this proposed data would not only cut hospital outpatient … in the CY
    2014 OPPS ratesetting process, CMS was able to … (4) Procedures described by
    add-on codes; … (6) Diagnostic tests on the bypass list; and.

    http://www.new-kyha.com/Portals/5/NewsDocs/03Jul2014OPPSProposed.pdf
    WASHINGTON
    Jul 1, 2014 … Centers Policy and Payment Changes for CY 2015 … admissions and changes to
    require physician certification for hospital inpatient admissions only for long- … In
    the CY 2014 OPPS/ASC final rule, CMS adopted a ….. CMS is listing the
    complexity adjustments proposed for add-on code combinations for …

    cy 2015 opps rule inpatient only list 21355

    comments Comments Off
    By , July 7, 2015 8:42 pm
  • AARP health insurance plans (PDF download)
  • Medicare replacement (PDF download)
  • AARP MedicareRx Plans United Healthcare (PDF download)
  • medicare benefits (PDF download)
  • medicare supplemental insurance (PDF download)
  • medicare coverage (PDF download)
  • medicare supplement plans (PDF download)
  • aarp life insurance (PDF download)
  • aarp insurance (PDF download)
  • medicare part d (PDF download)
  • medicare part b (PDF download)
  • cy 2015 opps rule inpatient only list 21355

    https://www.aamc.org/download/363892/data/oppsslidescy2014.pdf
    CY 2014 Medicare Outpatient Prospective Payment System (OPPS …

    http://www.gpo.gov/fdsys/pkg/FR-2013-12-10/pdf/2013-28737.pdf
    OPPS final rule – U.S. Government Printing Office

    http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/downloads/CMS-1404-FC.pdf
    OPPS/ASC final rule – Centers for Medicare & Medicaid Services

    http://medassets.com/_assets/pdf/ccfn_2013-1of4.pdf
    January/February 2013 – MedAssets

    http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8572.pdf
    MM8572 – Centers for Medicare & Medicaid Services

    https://www.aamc.org/download/363892/data/oppsslidescy2014.pdf
    CY 2014 Medicare Outpatient Prospective Payment System (OPPS …

    http://www.gpo.gov/fdsys/pkg/FR-2013-12-10/pdf/2013-28737.pdf
    OPPS final rule – U.S. Government Printing Office

    http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/downloads/CMS-1404-FC.pdf
    OPPS/ASC final rule – Centers for Medicare & Medicaid Services

    http://medassets.com/_assets/pdf/ccfn_2013-1of4.pdf
    January/February 2013 – MedAssets

    http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8572.pdf
    MM8572 – Centers for Medicare & Medicaid Services

    Panorama Theme by Themocracy