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October 2013

Hospital Outpatient Pricing Strategy II project begins Oct. 1

The HOPS II project will be implemented Oct. 1, 2013, which means it’s important that providers remember to bill the appropriate revenue codes, as well as the correct Current Procedural Terminology and Health Care Common Procedure Coding System codes, for services provided to our members in a hospital outpatient location.

These changes also apply to BCBSM freestanding outpatient physical therapy facilities and to ambulatory surgery facilities (for services reported with revenue code 0730).

For more details, refer to previously published articles on this topic in The Record and BCN Provider News. You may want to check out the article titled, “Changes to hospital outpatient services reimbursement delayed,” which ran in the March Record.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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