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CMS Manual System Department of Health & CMS Manual System Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 1155 Date: JANUARY 12, 2007 Change Request 5425 NOTE: Transmittal 1130, released on December 15, 2006 is rescinded, and is replaced by this Transmittal 1155, dated January 12, 2007 because revisions were made to the Status Indicators H and K contained in Attachment A, and the Summary of Data Changes (Attachment B). Also Attachment B, the Summary of Data Changes, was inadvertently left out of the instruction. All other information remains the same. SUBJECT: January 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.0 I. SUMMARY OF CHANGES: This instruction is to inform the fiscal intermediaries that the January 2007 OPPS OCE specifications have been update with new additions, deletions, and changes. It provides the revised OPPS OCE instructions and specifications that will be utilized under the OPPS hospitals for outpatient departments, community heatlh centers (CMHC's) and for limited services provided in a home health agency (HHA) not under the home health prospective payment system. or to a hospice patient for the treatment of a non-terminal illness. New / Revised Material Effective Date: January 1, 2007 Implementation Date: January 2, 2007 Disclaimer for manual changes only: The revision date and transmittal number apply only to red italicized material. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents. II. CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual is not updated) R=REVISED, N=NEW, D=DELETED-Only One Per Row. R/N/D Chapter / Section / Subsection / Title N/A III. FUNDING: No additional funding will be provided by CMS; Contractor activities are to be carried out within their FY 2007 operating budgets. IV. ATTACHMENTS: Recurring Update Notification *Unless otherwise specified, the effective date is the date of service. Attachment - Recurring Update Notification Pub. 100-04 Transmittal: 1155 Date: January 12, 2007 Change Request: 5425 NOTE: Transmittal 1130, released on December 15, 2006 is rescinded, and is replaced by this Transmittal 1155, dated January 12, 2007 because revisions were made to the Status Indicators H and K contained in Attachment A, and the Summary of Data Changes (Attachment B). Also Attachment B, the Summary of Data Changes, was inadvertently left out of the instruction. All other information remains the same. SUBJECT: January 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.0 Effective Date: January 1, 2007 Implementation Date: January 2, 2007 I. GENERAL INFORMATION A. Background: This notification reflects specifications that were issued for the October 2006 revision of the OPPS OCE (Version 7.3). All shaded material in Attachment A reflects changes that were incorporated into the January version of the revised OPPS OCE (Version 8.0). B. Policy: This notification provides the revised OPPS OCE instructions and specifications that will be utilized under the OPPS for hospital outpatient departments, community mental health centers (CMHCs) and for limited services as defined below when provided in a home health agency (HHA) not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness. II. BUSINESS REQUIREMENTS TABLE Use “Shall" to denote a mandatory requirement Number Requirement Responsibility (place an “X” in each applicable column) A D F C D R Shared- OTHER / M I A M H System B E R E H Maintainers R R I F M V C I C M W M M I C S S S F A A E S C C R 5425.1 The Shared System Maintainer shall install X X X OPPS OCE Version 8.0 into their systems. 5425.2 Intermediaries and RHHI’s shall inform X X X X providers of the OPPS OCE changes for Version 8.0 detailed in this recurring notification. III. PROVIDER EDUCATION TABLE Number Requirement Responsibility (place an “X” in each applicable column) A D F C D R Shared- OTHER / M I A M H System B E R E H Maintainers R R I F M V C M M I C I C M W A A E S S S F C C R S 5425.3 A provider education article related to this X X X instruction will be available at http://www.cms.hhs.gov/MLNMattersArticles/ shortly after the CR is released. You will receive notification of the article release via the established "MLN Matters" listserv. Contractors shall post this article, or a direct link to this article, on their Web site and include information about it in a listserv message within one week of the availability of the provider education article. In addition, the provider education article shall be included in your next regularly scheduled bulletin. Contractors are free to supplement MLN Matters articles with localized information that would benefit their provider community in billing and administering the Medicare program correctly. IV. SUPPORTING INFORMATION A. For any recommendations and supporting information associated with listed requirements, use the box below: Use "Should" to denote a recommendation. X-Ref Recommendations or other supporting information: Requirement Number B. For all other recommendations and supporting information, use the space below: V. CONTACTS Pre-Implementation Contact(s): Diana Motsiopoulos at [email protected]., or Maria Durham at [email protected] . For Policy related questions contact Marjorie Baldo at [email protected] Post-Implementation Contact(s): Regional Office(s) VI. FUNDING A. For Fiscal Intermediaries, Carriers, and the Durable Medical Equipment Regional Carrier (DMERC), use only one of the following statements: No additional funding will be provided by CMS; contractor activities are to be carried out within their FY 2007 operating budgets. B. For Medicare Administrative Contractors (MAC): The contractor is hereby advised that this constitutes technical direction as defined in your contract. CMS does not construe this as a change to the Statement of Work (SOW). The contractor is not obligated to incur costs in excess of the amounts specified in your contract unless and until specifically authorized by the Contracting Officer. If the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the Contracting Officer, in writing or by e-mail, and request formal directions regarding continued performance requirements. ATTACHMENTS: Attachment A - January 2007 Outpatient Code Editor (OCE) Specifications Version (V8.0) Attachment B - Final Summary of Data Changes OCE/APC v 8.0 ATTACHMENT A January 2007 Outpatient Code Editor (OCE) Specifications Version (V8.0) This attachment contains specifications issued for the January 2007 OCE (Version 8.0). All shaded material reflects changes incorporated into the October 2006 version of the OPPS OCE (Version 7.3). Introduction This attachment provides OCE instructions and specifications that will be utilized under the OPPS for hospital outpatient departments, community mental health centers (CMHCs), and limited services provided in a home health agency (HHA) not under Home Health PPS or to a hospice patient for the treatment of a non-terminal illness. Henceforth, this OCE will be referred to as the OPPS OCE. You are required, effective with unprocessed claims with dates of service on or after August 1, 2000, to send the following bills through the OPPS OCE: • All outpatient hospital Part B bills (bill types 12X, 13X, or 14X) with the exception of critical access hospitals (CAHs), Indian Health Service Hospitals (IHS)/ Tribal hospitals including IHS/ Tribal CAHs, Maryland hospitals, and hospitals located in American Samoa, Guam, and The Northern Mariana Islands. In addition, claims from Virgin Island hospitals with dates of service January 1, 2002, and later, and claims from hospitals that furnish only inpatient Part B services with dates of service January 1, 2002, and later should not be sent through the OPPS OCE since they are also excluded from OPPS. (See below for more detail regarding these hospitals.); • CMHC bills (bill type 76X); • HHA bills containing certain Healthcare Common Procedure Coding System (HCPCS) codes as identified in the chart entitled “HCPCS Codes for Reporting Antigens, Vaccine Administration, Splints and Casts” below (bill types 34X); and • Any bill containing a condition code 07, “treatment of non-terminal illness – hospice”, with certain HCPCS codes as identified in the chart entitled “HCPCS Codes for Reporting Antigens, Vaccine Administration, Splints and Casts” below. Send all other outpatient bill types (22X, 23X, 24X, 32X, 33X, 43X, 71X, 72X, 73X, 74X, 75X, 81X or 82X) through the OPPS OCE. Send IHS/Tribal Hospitals including IHS Tribal CAH’s, CAH’s, Maryland hospitals, and hospitals located in American Samoa, Guam, and The Northern Mariana Islands through the non-OPPS OCE (original OCE). Also send claims from Virgin Island hospitals with dates of service on or after January 1, 2002, and claims from hospitals that furnish only inpatient Part B services with dates of service on or after January 1, 2002, through the non-OPPS OCE. Refer to the IOM Chapter 100-04, Chapter 4, Section 150, for information regarding hospitals that provide Part B only services to their inpatients. NOTE: For bill type 34X vaccine administration, splints, casts, and antigens will be paid under OPPS. For bills containing condition code 07, only splints, casts and antigens will be paid under OPPS. You are also required to notify your providers of the OPPS OCE claim outputs. The following information provides you with the OPPS OCE edit specifications that will be utilized to make appropriate payments under the OPPS system, which was effective August 1, 2000.
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