The length of the document below is: 264 page(s) long
The self-declared author(s) is/are:
The subject is as follows:
Subject: Original authors did not specify.
The original URL is: LINK
The access date was:
Access date: 2019-06-01 17:06:26.738199
Please be aware that this may be under copyright restrictions. Please send an email to admin@pharmacoengineering.com for any AI-generated issues.
Loading...
Reload document 
Open in new tab The content is as follows:
Medicare Claims Processing Manual
Chapter 4
– Part B Hospital
(Including Inpatient Hospital Part B and OPPS)
Table of Contents
(Rev.
4157, 11-02-18) (Rev. 4255, 03
-15-19)
Transmittals for Chapter 4
10 – Hospital Outpatient Prospective Payment System (OPPS)
10.1 – Background
10.1.1 – Payment Status Indicators
10.2 – APC Payment Groups
10.2.1 – Composite APCs
10.2.2 – Cardiac Resynchronization Therapy
10.2.3 – Comprehensive APCs
10.3 – Calculation of APC Payment Rates
10.4 – Packaging
10.4.1 – Combinations of Packaged Services of Different Types That are
Furnished on the Same Claim
10.5 – Discounting
10.6 – Payment Adjustments
10.6.1 – Payment Adjustment for Certain Rural Hospitals
10.6.2 – Payment Adjustment for Failure to
Meet the Hospital Outpatient
Quality Reporting Requirements
10.6.2.1 – Hospitals to which the Payment Reduction Applies
10.6.2.2 – Services to which the Payment Reduction Applies
10.6.2.3 – Contractor Responsibilities
10.6.2.4 – Application of the Payment Reduction Factor in
Calculation of the Reduced Payment and Reduced Copayment
10.6.3 – Payment Adjustment fo
r Certain Cancer Hospitals
10.6.3.1 – Payment Adjustment for Certain Cancer Hospitals for CY
2012 and CY 2013
Please note all content on this page was automatically generated via our AI-based algorithm (BishopKingdom ID: 0wJ7zu4exPGXIogjhTBW). Please let us know if you find any errors.