This article is for outpatient prospective payment system (OPPS) providers that have multiple service locations submitting claims to A/B Medicare administrative contractors (MACs). This article was revised March 24, 2020, to announce a delay until further notice to the activation of systematic validation edits for OPPS providers with multiple service locations. [SE 19007]
An overview of the PPS for hospital outpatient services, some Part B services furnished to hospital inpatients who have no Part A coverage, and hospitalization services furnished by community mental health centers.
This Interactive Cost Outlier Tool is provided to assist you in determining the proper billing of your inpatient prospective payment (IPPS) outlier claims.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.