CMS Transmittal R13844CP: July 2026 Integrated Outpatient Code Editor (I/OCE) Specifications Version 27.2
Policy CMS-T-R13844CP · Hospital Outpatient (OPPS)
CriticalCMS is releasing the July 2026 Integrated Outpatient Code Editor (I/OCE) Specifications Version 27.2, effective July 6, 2026. This update modifies the logic used to edit and process outpatient claims,
View alertCMS Transmittal R13832CP: July 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Policy CMS-T-R13832CP · Hospital Outpatient (OPPS)
CriticalThe July 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS) affects billing practices by updating payment rates and possibly introducing new service codes. Billing teams must rev
View alertFederal Register Final Rule: Medicare Program; Updates to Face-to-Face Encounter and Written Order Prior to Delivery List
Policy FR-2023-00718 · Outpatient
HighThe updates to HCPCS codes pertaining to face-to-face encounters requires billing team review. This change is crucial for ensuring that providers adhere to the u
View alertFederal Register Final Rule: Medicare Program; Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots; Correction
Policy FR-2026-03578 · Hospital Outpatient (OPPS)
HighThis correction to the CY 2026 OPPS/ASC final rule addresses technical errors, which may affect the accuracy of reimbursement amounts for outpatient services and surgical centers. Accurate coding and
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