Aug 29, 2019
*UPDATE* Since initial publication of this episode, CMS has delayed implementation of this policy until April 2020.
The Centers for Medicare and Medicaid Services (CMS), recently announced that it plans to activate systematic validation edits for Outpatient Prospective Payment System (OPPS) providers with multiple service locations that will verify whether the address listed on each claim matches the address in CMS’ Provider Enrollment, Chain and Ownership System (PECOS) database. In this episode, Gabe Scott provides some background on why CMS is making this change, why it is important, and what providers with off-campus provider-based locations might do to address this issue.
Presenters: Gabriel Scott