A code that is listed as a status “C” code by CMS will not be paid under the Outpatient Prospective Payment System (OPPS). The status indicator of the codes is determined by the Centers for Medicare and Medicaid Services (CMS) and can be changed on a quarterly basis. This link will take you to a list of the Ambulatory Patient Classification (APC) status indicator “C” codes for 2015. A table with these different diagnosis groups is on the following page. The first is diagnosis codes that will always be payable (i.e., Group 1), the second is diagnosis codes that will require documentation to determine medical necessity and payment (i.e., Group 2), and the third list is diagnosis codes that will not be payable (i.e., Group 3). This diagnosis code list is split into three parts. This change was effective July 1, 2013, and aligns with initiatives being undertaken by the Iowa HealthCare Collaborative, as well as by various individual hospitals and hospital systems. To select a supplier, contracting officers (COs) at federal agencies make a fair opportunity decision based on price, past performance, technical requirements, etc.Iowa Legislature mandated that the Iowa Medicaid program no longer provide coverage of, or payment for, elective, non-medically necessary Cesarean section (C-section) deliveries. Use the Networx Pricers to compare prices. Networx Universal Period of Performance by Industry Partner Provider Networx Enterprise Period of Performance by Industry Partner Provider The Networx acquisition has predefined service level agreements for each service type which lets you know what to expect from suppliers. Use the Networx Unit Pricer (explained in the Networx Unit Pricer Briefing and the Networx Pricers Brochure ) to look up specific services and the industry partners who offer them. Under "Choose CLIN," search or browse for contract line item numbers (CLINs). You can also view the Networx Agency Pricer Access Instructions, which describe how to access the Agency Pricer to view 10-year prices. You must fill out the Agreement to Protect Sensitive but Unclassified Government Information to be granted access to the Agency Pricer. Use the List of Agency Users to organize your user information.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |