October 2020 I/OCE Specifications Version 21.3 - Revised

MLN Matters Number: MM11944 Revised
Related CR Release Date: October 2, 2020
Related CR Transmittal Number: R10382CP
Related Change Request (CR) Number: 11944
Effective Date: October 1, 2020
Implementation Date: October 5, 2020

Note: CMS revised this article to reflect the revised CR 11944, issued on October 2, 2020. The CR revision added several items to the Summary of Quarterly Release Modifications table, and CMS made those same changes in the article. Also, CMS revised the CR release date, transmittal number, and the web address of the CR. All other information is the same.

CR 11944 discusses changes to the October 2020 version of the Integrated Outpatient Code Editor (I/OCE) instructions and specifications for the Integrated OCE that Medicare uses

  • Under the Outpatient Prospective Payment System (OPPS) and Non-OPPS for hospital outpatient departments, community mental health centers and all non-OPPS providers
  • For limited services when provided in a Home Health Agency (HHA) not under the Home Health Prospective Payment System
  • For a hospice patient for the treatment of a non-terminal illness.

Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11944.

            Last Updated Tue, 06 Oct 2020 14:12:47 +0000