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Editing for Duplicate Payment of Nonphysician Outpatient Services Provided During an Inpatient Hospital Admission

The Office of the Inspector General (OIG) has identified a need for additional editing to prevent potential duplicate payments for nonphysician outpatient services provided within an IPPS hospital admission.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 02, 2012

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.