Outpatient Prospective Payment System (OPPS) Addendums Updates A, B, D1, and E
Review to find quarterly updates related to OPPS and I/OCE and review accessing the addendums* listed below.
Articles
Article Type
Category
Automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our automated process to match the most...
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The drug codes list and radiopharmaceutical codes lists have been updated.
How anesthesia reimbursement is calculated
View this article when looking for information regarding anesthesia reimbursement.
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
Credit Balance Status tool instructions
View this document to learn more about the Credit Balance Status tool.
Tips to prevent claim adjustment reason code (CARC) CO 97
Review this article for tips to prevent claims from denying with reason code CO 97.