Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes
Guidance for Transmittal 875, Change Request (CR) 4371 issued on February 24, 2006, instructed FISS to “hook” and hold claims with bill types 12x, 13x, or 76x, with dates of service on or after the first day of each quarter, that include one or more drug HCPCS codes from the list that will be provided quarterly. The “hook” program should be maintained and updated each quarter based on the list of drug HCPCS found at the address provided in the Business Requirements below. This process should continue until further notice.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 26, 2007
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