Patient Status Code and Reason for Patient Visit for the

40.2.1 - Patient Status Code and Reason for Patient Visit for the Hospital OPPS (Rev. 1107, Issued: 11-09-06, Effective: 07-01-07, Implementation: 07-02-07) In order to ensure that OPPS claims are being submitted and processed to payment in accordance with OPPS payment policy, CMS must be able to monitor information reported by hospitals on the claim including Patient Status and Reason for Patient Visit. This instruction requires the Shared System Maintainer to make changes to ensure that the information from claims submitted on bill type 13x, is passed to the OPPS Outpatient Code Editor (OCE) and to the Common Working File (CWF). This instruction also requires the Common Working File Maintainer to make changes to ensure that the information regarding Reason for Patient Visit is passed to the National Claims History (NCH) file.