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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 4064 Date: June 1, 2018 Change Request 10781 SUBJECT: July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) I. SUMMARY OF CHANGES: This recurring update notification describes changes to billing instructions for various payment policies implemented in the July 2018 OPPS update. The July 2018 Integrated Outpatient Code Editor (I/OCE) will reflect the Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS modifier, and revenue code additions, changes, and deletions identified in this Change Request (CR).

Jul 02, 2018 · were not acquired through the 340B Program is made at a single rate of ASP + 6 percent (or ASP - 22.5 percent if acquired under the 340B Program), which provides payment for both the acquisition cost and pharmacy overhead costs associated with the drug, biological or therapeutic radiopharmaceutical. In CY

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