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 R13836CP: July 2026 Update of the Ambulatory Surgical Center (ASC) Payment System
Policy CMS-T-R13836CP · Outpatient
CriticalThe July 2026 Update of the Ambulatory Surgical Center (ASC) Payment System includes changes that billing teams must implement by July 6, 2026. Specifically, review any billing related to ASC services
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; 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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