CMS Updates the January 2025 OPPS Update - AAPC
Jan 29, 2025 · In the revision to the calendar year (CY) 2025 OPPS update, CMS added pass-through expiration dates for several C codes in Table 3, as follows: Pass-through expiration …
2025 Outpatient Prospective Payment System (OPPS) Final Rule
Jan 24, 2025 · The presentation will cover all the highlights of the 2025 OPPS Final Rule, detailing changes to reimbursement for current services, new services, and ending services. …
OPPS Final Rule Eliminates Inpatient Only List - AAPC
Dec 23, 2020 · The 2021 OPPS final rule seeks to increase patient choice and lower out-of-pocket costs. On Dec. 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released …
CMS Releases 2025 OPPS/ASC Payment System Final Rule
Dec 3, 2024 · The Federal agency remains committed to addressing maternity care crisis in the U.S. On Nov. 1, 2024, the Centers for Medicare & Medicaid Services CMS remains committed …
Wiki OPPS Facility/Non-Facility vs MPFS Facility/Non-Facility Rate
Feb 10, 2023 · I'm trying to understand what the OPPS Facility/Non-Facility payment amount is referring to. For instance, for code 33208 (Insertion of new or replacement of permanent …
Brush Up on Outpatient Billing and Coding Basics - AAPC
Sep 1, 2021 · Refinements were made to the OPPS in the Balanced Budget Refinement Act of 1999 and later by the Medicare Prescription Drug, Improvement, and Modernization Act of …
Meet Criteria for IP-only Procedures Under the OPPS
Apr 1, 2011 · Section 1833(t)(1)(B)(i) of the Social Security Act gives the secretary “broad authority” to decide which services will be covered and reimbursed under the OPPS, and …
OPPS April 2023 Update Brings Coding and Policy Changes
Apr 3, 2023 · The Centers for Medicare & Medicaid Services (CMS) has released coding changes and policy updates for the Outpatient Prospective Payment System (OPPS). The updates …
2014 OPPS Collapses Clinic Visit E/M Levels for G0463
Mar 1, 2014 · Payment for G0463 under the 2014 Outpatient Prospective Payment System (OPPS) is $92.53 and, according to the Centers for Medicare & Medicaid Services (CMS), is …
* note — Payments under a fee schedule or payment system other than oPPS may be contractor priced. This status indicator list reflects proposed OPPS payment status indicators for CY …