INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Outpatient hospitals and outpatient prospective payment system (OPPS).
Effective Date: July 1, 2012.
For this effective date, specific changes to the guide include:
|•||Revise the "outpatient hospitals and outpatient prospective payment system fee schedule["] with: Updated fees; current procedural terminology (CPT) codes; and healthcare common procedure coding system (HCPCS) codes.|
|•||Implement updates to outpatient prior authorization and coverage requirements.|
|•||Implement revised maximum units.|
|•||Effective dates of service on and after September 4, 2012, require reporting of enrolled attending providers on all outpatient claims.|