CMS delays until April 2020 activating certain OPPS claims edits
As urged by the AHA, the Centers for Medicare & Medicaid Services has delayed further — until April 2020 — system edits that would require hospitals and health systems with multiple locations to include on outpatient prospective payment system claims for services provided in off-campus provider-based departments the exact same provider address entered in the Medicare Provider, Enrollment, Chain and Ownership System for that location. The edits were originally scheduled to take effect in July. CMS had delayed the effective date until Oct. 1 before announcing this week that the effective date is now April 2020.
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