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 June 28, 2019, to provide an update on Round 3 testing and to announce a delay of full implementation until October 2019. [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.
An overview for both the operating and capital-related costs of hospital inpatient stays in long-term care hospitals (LTCHs) under Medicare Part A based on prospectively set rates.
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