RESOLVED: Payment for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments

 

Payment for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments
Current Status
Date
 
Resolved
07/30/2020
Status: Resolved 07/01/2020. All affected claim adjustments have been processed. These claims will be identified as a 13X Type of Bill with "C584" listed in the Remarks field.
Update
March 3, 2020
Status:
Beginning on March 3, 2020, and over the next few months, Palmetto GBA will automatically reprocess these 2019 claims paid at the reduced rate. These claims will be identified as xxI type of bills with "C584" listed in the Remarks field.
Provider Action:
No provider action is required.
Dated Identified
December 19, 2019
Issue 
In MLN Connects for December 19, 2019, CMS notified providers of an update to Payment for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments.
 
CMS installed a revised Hospital Outpatient Prospective Payment System (OPPS) Pricer to update the rates being applied to claim lines. The revised Pricer went into production on November 4, 2019, and applies to claims with a line item date of service of January 1, 2019, and after.