Hint: Clinic visit coding gets streamlined.
The table below summarizes the facility reporting of ED and outpatient clinic visits for 2014, including applicable HCPCS and APC codes:
Look For Nice Increases in ED Facility Payments in 2014
2014 APC Payments for ED Facility Services are set to increase significantly. The table below demonstrates the meaningful increase in ED facility payments for 2014. On a comparative basis ED facility payments will increase a minimum of 8 percent and as much as 32 percent on a code by code basis, states Michael A. Granovsky, MD, FACEP, CPC, President of LogixHealth, an ED coding and billing company in Bedford, Ma.
Watch for Bundling of Other Services into APC Payments
Granovsky notes these additional points from the OPPS Rule:
5 packages to review: CMS did, however, advance their overall concept of packaging more services with the following five services (a decrease from the original seven proposed services) finalized as packaged for 2014 and adding to the list of OPPS packaged items and services in 42 CFR 419.2(b), Granovsky says.
(1) Drugs, biologicals, and radiopharmaceuticals used in a diagnostic test or procedure;
(2) Drugs and biologicals when used as supplies in a surgical procedure;
(3) Certain clinical diagnostic laboratory tests;
(4) Procedures described by add-on codes; and
(5) Device removal procedures.