INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Update to the billing procedures for outpatient hospital claims.
Effective Date: Effective for dates of service on and after July 1, 2002.
Document Description: Effective for dates of service on and after July 1, 2002, the Medical Assistance Administration (MAA) will require hospitals to bill outpatient claims using the line item date of service and the appropriate revenue codes with Health Care Financing Administration common procedure coding system (HCPCS) codes, current procedural terminology (CPT¦) codes, and modifiers. Also effective July 1, 2002, MAA will standardize billing procedures and payment for outpatient observation room services.
To receive a copy of the interpretive or policy statement, contact Kevin Sullivan, Regulatory Improvement Coordinator, Department of Social and Health Services, Medical Assistance Administration, Division of Program Support, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1344 or go to website http://maa.dshs.wa.gov (click on Numbered Memorandum link), TDD 1-800-848-5429, fax (360) 586-9727, e-mail mailto:sullikm@dshs.wa.gov.
January 31, 2002
E. A. Myers, Manager
Rules and Publications Section