Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 40.1
Integrated OCE (July 2007 and Later)
40.1 - Integrated OCE (July 2007 and Later)
(Rev. 1590, Issued: 09-08-08, Effective: 10-01-08, Implementation: 10-06-08)
Effective for claims with dates of service July 1, 2007 and after, the non-Outpatient
Prospective Payment System (OPPS) Outpatient Code Editor (OCE) will be integrated
into the OPPS OCE. This integration will result in the routing of all institutional
outpatient claims, including non-OPPS hospital claims, through a single integrated OCE
eliminating the need to update two separate OCE software packages on a quarterly basis.
The integrated OCE does not change the current logic that is applied to outpatient
bill types that already pass through the OPPS OCE software. It merely expands the
software usage to include non-OPPS hospitals. This new software product will be
referred to as the Integrated OCE (I/OCE).
The I/OCE instructions and specifications are provided via Recurring Update
Notifications. They are also posted on the Web at the following address:
http://www.cms.hhs.gov/OutpatientCodeEdit/02_OCEQtrReleaseSpecs.asp#TopOfPage