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Billing Requirements for OPPS Providers with Multiple ...

www.cms.gov

Aug 05, 2016 · In the CY 2015 OPPS Final Rule (79 FR 66910-66914), the Centers for Medicare & Medicaid Services (CMS) created a HCPCS modifier for hospital claims that is to be reported with each claim line with a HCPCS for outpatient hospital items and services furnished in an off-campus provider-based department (PBD) of a hospital.

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Emergency Department Coding - AHIMA

campus.ahima.org

2007 OPPS Final Rule – “Providers should bill a low-level visit code in such circumstances only if the hospital provides a significant, separately identifiable low-level visit in association with the packaged service.” 21 Polling Question #2 Patient presents to ED with a fish hook embedded in the forearm while fishing in a pond.

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