Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 40.1

Integrated OCE (July 2007 and Later)

Last amended: 2008Year: 2008Length: 150 wordsOfficial source
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
Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 40.1: Integrated OCE (July 2007 and Later) | Justis AI