The document will also be identified as CR 13136.
The April 2023 Outpatient Prospective Payment System (OPPS) Update has been released and is effective April 1, 2023, and implemented on April 3, 2023. This document is also identified as CR 13136.
There are new codes, reimbursement updates, and changes to status indicators found in this release. The following items should be noted:
Change Request 13136 contains a huge amount of information – especially for chargemaster coordinators and claim auditors. This document should be at the top of your reading list this week.
Programming note: Listen to Laurie Johnson’s live Coding Report every Tuesday on Talk Ten Tuesdays, 10 Eastern, with Chuck Buck and Dr. Erica Remer.
Resources:
CR13136: MM13136 – Hospital Outpatient Prospective Payment System: April 2023 Update (cms.gov)
Last August, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) reported its findings on a review of certain MS-DRGs
Today we will finish up our look at pain coding, specifically acute pain, chronic pain, and neoplasm-related pain issues. G89.1 is our subcategory for acute
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