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Hospital Outpatient Program Memoranda

The list below shows the program memoranda for the Hospital Outpatient Prospective Payment System.

Transmittal No. Title Date Year
A-03-035 Reporting of Revenue Codes Under the Outpatient Prospective Payment System 05/02/2003 2003
A-03-028 January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1R1 For Bills From Hospitals 04/11/2003 2003
A-03-027 Updated OPPS: Requirements for Provider Education and Training 04/11/2003 2003
A-03-004 Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) 01/17/2003 2003
A-02-129 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2003 2002
A-02-111 October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) 10/25/2002 2002
A-02-098 Changes in Transitional Outpatient Payment (TOP) for 2003 10/11/2002 2002
A-02-089 Temporary Procedures for Cost 09/27/2002 2002
A-02-087 Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System 09/12/2002 2002
A-02-082 October Outpatient Code Editor (OCE) Specifications Version (V3.2) 08/21/2002 2002
A-02-076 October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) 08/07/2002 2002
A-02-075 Admitting Diagnosis for Observation Services for the Outpatient Prospective Payment System (OPPS) 08/07/2002 2002
A-02-074 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 08/07/2002 2002
A-02-064 Excluding Hospitals that Provide Part B Only Services to Their Inpatients 07/24/2002 2002
A-02-052 July Outpatient Code Editor (OCE) Specifications Version (V3.1) 06/18/2002 2002
A-02-050 July 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) 06/17/2002 2002
A-02-048 Extension of the Deadline for Hospitals to Make Elections to Reduce Beneficiary Coinsurance for 2002 06/04/2002 2002
AB-02-075 Payment Limit for Drugs and Biologicals 05/22/2002 2002
A-02-026 2002 Update of the Hospital Outpatient Prospective Payment System (OPPS) 03/28/2002 2002
A-01-145 Delay of the 2002 Update to the Outpatient Prospective Payment System (OPPS) 12/21/2001 2001
A-01-84 Problems With Processing Certain Clinical Diagnostic Laboratory Claims and Other Claims 07/13/2001 2001
A-01-80 Use of Modifier 25 ans Modifier 27 in the Hospital Outpatient Prospective System (OPPS) 06/29/2001 2001
A-01-78 Special Handling of Outpatient Prospective System (OPPS) Claims Containing HCPCS Code: G0121 06/27/2001 2001
A-01-73 July 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS) 06/01/2001 2001
A-01-72 Additional Problems with Processing of Non Outpatient Prospective Payment System (OPPS) Claims 06/01/2001 2001
A-01-71 Medicare Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System 05/25/2001 2001
A-01-67 July Medicare Outpatient Code Editor (OCE) Specifications Version (V16.2) 05/17/2001 2001
A-01-66 July Outpatient Code Editor (OCE) Specifications Version (V2.2) 05/17/2001 2001
A-01-51 Calculating Payment-To-Cost Ratios (PCR) 04/13/2001 2001
A-01-50 Further Guidence Regarding Billing Under the Outpatient Prospective Payment System (OPPS) 04/12/2001 2001
A-01-46 Further Guidence on Handling the Outpatient Code Editor (OCE) Edit 43 03/30/2001 2001
A-01-44 Standard System Changes 03/28/2001 2001
A-01-41 Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments 03/22/2001 2001
A-01-40 for Fiscal Intermediaries - Additional Information on Transitional Pass-Through Devices and Drugs 03/22/2001 2001
A-01-36 April Outpatient Code Editor (OCE) Specifications Version (V2.1) 03/16/2001 2001
A-01-32 Bi-Weekly Interim Payments for Certain Hospital Outpatient Items and Services 03/08/2001 2001
A-01-27 Problems With Processing of Non Outpatient Prospective Payment System(OPPS) Claims 02/23/2001 2001
A-01-25 New Processing Reporting Requirements for Resolution of Outpatient PPS Implementation Issues 02/12/2001 2001
A-01-17 Impact of the Benefits Improvment and Protection Act on Devices 01/31/2001 2001
A-01-10 Technical Corrections to January 2001 Update: Coding Information for the Hospital Outpatient PPS 01/16/2001 2001
A-01-01 January Outpatient Code Editor (OCE) Specifications Version (V2.0) 01/16/2001 2001
A-00-100 Conversion to the UB-92 Version 6.0 and Continued Use of Version 5.0 12/22/2000 2000
A-00-82 January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) 11/03/2000 2000
A-00-72 Technical Corrections to Coding Information for Hospital Outpatient Prospective Payment System 10/03/2000 2000
AB-00-73 Proper Billing of Outpatient Pathology Service under the Outpatient Prospective Payment System 08/11/2000 2000
AB-00-69 Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/01/2000 2000
A-00-45 Interim Process for Certain "Inpatient Only" Code Changes 08/01/2000 2000
A-00-40 Further information on the use of Modifier - 25 in Reporting Hospital Outpatient Services 07/20/2000 2000
A-00-35.60 Revised Outpatient Code Editor (OCE) specifications for Outpatient PPS 06/01/2000 2000
A-00-36.60 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 06/01/2000 2000
A-00-07 Addition of Modifiers 25, 58, 78 & 79 to the List of Modifiers Approved for Hospital Outpatient Use 02/01/2000 2000