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MLN Matters Article MM12120 (New): January 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS)

This Article comprises Sub-regulatory guidance for changes to and billing instructions for various payment policies implemented in the January 2021 Outpatient Prospective Payment System (OPPS) update. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR12120. The official instruction, CR 12120, consists of two transmittals posted on the CMS website.

Download the Guidance Document

Final

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

Issue Date: January 05, 2021

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.