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MIR-2006-7AB, July 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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July 2006 Non-Outpatient Prospective Patient System Outpatient Code
Editor (Non-OPPS OCE)
Specifications Version 21.3
Provider Types Affected
Providers billing Medicare fiscal intermediaries (FIs), including regional home health intermediaries (RHHIs), for services not subject to the OPPS
Provider Action Needed
This article is based on Change Request (CR) 5066, which announces that the July 2006 Non-OPPS OCE has been updated with new additions, changes, and deletions to Healthcare Common Procedure Coding System (HCPCS) codes and procedure codes.
Background
Change Request (CR) 5066 informs your FIs and RHHIs that the Non-OPPS Outpatient Code Editor (OCE) used to process claims from hospitals not paid under the Outpatient Prospec-tive Payment System (OPPS) has been updated with new additions, changes, and deletions to Healthcare Common procedure Coding System/Current Procedural Terminology (HCPCS/CPT) codes and descriptions.
To view the specific code updates, please see CR5066 at http://www.cms.hhs.gov/Transmittals/downloads/R960CP.pdf  on the CMS Web site.
Implementation
The implementation date for the instructions is July 3, 2006.
Additional Information
For complete details, please see the official instruction issued to your intermediary regarding this change. That instruction may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R960CP.pdf on the Centers for Medicare & Medicaid Services (CMS) Web site.
If you have any questions, please contact your intermediary at their toll-free number, which may be found at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNum Directory.pdf on the CMS Web site.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.
MLN Matters Number: MM5066
Pub. 100-4, Transmittal# R960CP, CR# 5066
Related CR Release Date: May 26, 2006
Effective Date: July 1, 2006
Implementation Date: July 3, 2006
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