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hospital outpatient department requirements
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(5) Hospital outpatient departments (other than RHCs) must treat all Medicare patients, for billing purposes, as hospital outpatients.SOUTH DAKOTA MEDICAID. BILLING AND POLICY MANUAL. Outpatient Hospital Services. UPDATED. March 22. PAGE | 1. OUTPATIENT HOSPITAL SERVICES. The Medicare OPPS is designed to pay acute hospitals for most outpatient services. Hospitals must bill on a UB-04 or successor claim form using CPT or. Outpatient: ICD-10-CM Official Guidelines, Section IV.H, Uncertain diagnosis, is specific to outpatient coding: “Do not code diagnoses documented as 'probable,' This PEIA Outpatient Hospital Prospective Payment Billing Manual is a modified version of the. Hospital Manual titled “United States Government Services, Updating OPPS and ASC payment rates by 2.7% for facilities meeting quality reporting requirements. Establishing provider enrollment procedures and payment rates
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