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Medicare Program: Proposed Changes to the Hospital Outpatient PPS (OPPS) and CY 2007 Rates; Proposed CY 2007 Update to the ASC Covered Procedures List; and Proposed Changes to the ASC Payment System and CY 2008 Payment Rates Downloads CMS-1506-P [PDF, 3.3MB] Median Costs for Hospital Outpatient Services, by HCPCS code - This Excel file displays median costs, by HCPCS code, for services payable under the Hospital OPPS in calendar year 2007. The data are based on claims for hospital outpatient services provided January 1, 2005 through December 31, 2005. [ZIP, 245KB] - Updated 09/01/2006 Median Costs for Hospital Outpatient Services, by ambulatory payment classification (APC) group - This Excel file displays median costs, by APC group, for services payable under the OPPS in calendar year 2007. The data are based on claims for hospital outpatient services provided January 1, 2005 through December 31, 2005. [ZIP, 26KB] Median Costs for Drugs, Biologicals, and Radiopharmaceuticals - This Excel file displays cost data, in HCPCS code order, for drugs, biologicals, and radiopharmaceuticals that are packaged or separately payable under the OPPS in calendar year 2007. The data are based on claims for hospital outpatient services provided January 1, 2005 through December 31, 2005. [ZIP, 53KB] Addendum A - This Excel file lists, in APC order, the name, payment status indicator, relative weight, payment rate, and copayment amount(s) for the 2007 APC groups. [ZIP, 44KB] Addendum B - This Excel file lists payment information by HCPCS code for the 2007 OPPS. [ZIP, 400KB] Addendum C - This Excel file groups HCPCS codes payable under the 2007 OPPS by APC. [ZIP, 163KB] Addendum D1 - This table lists the 2007 OPPS payment status indicators and what they signify. [PDF, 71KB] - updated 8/18/06 Addendum D2 - This table describes comment indicators assigned to new and deleted HCPCS codes in Addendum B. [PDF, 31KB] - updated 8/18/06 Addendum E - This Excel file lists HCPCS codes that would only be payable as inpatient procedures (inpatient list). [ZIP, 42KB] FY2007 IPPS Wage Index, Table 4A: (formerly Addendum H) Table 4A-1 [ZIP, 51KB] Table 4A-2 [ZIP, 4KB] FY2007 IPPS Wage Index, Table 4B: (formerly Addendum I) [ZIP, 5KB] FY2007 IPPS Wage Index, Table 4C: (formerly Addendum J) Table 4C-1 [ZIP, 14KB] Table 4C-2 [ZIP, 3KB] FY2007 IPPS Wage Index, Table 4F: (formerly Addendum K) [ZIP, 3KB] Addendum L - Out-Migration Wage Adjustment for CY 2007 [ZIP, 7KB] FY2007 IPPS Wage Index, Table 9A: (formerly Addendum M) [ZIP, 17KB] FY2007 IPPS Wage Index, Table 9B: (formerly Addendum N) [ZIP, 5KB] FY2007 IPPS Wage Index, Table 9C: (formerly Addendum O) [ZIP, 3KB] 2007 OPPS Hospital-Specific Impacts - Provider-specific data [ZIP, 336KB] 2007 OPPS Hospital-Specific Impacts - File layout [PDF, 27KB] 2007 OPPS Claims Accounting [PDF, 56KB] Devices Proposed to Require Specified Procedure Codes [ZIP, 4KB] - updated 9/22/06 Blood Revenue Code Cost to Charge Ratios (CCRs) File Layout [PDF, 19KB] Blood Revenue Code Cost to Charge Ratios (CCRs) [ZIP, 117KB] 2003 Draft Guidelines developed by the American Hospital Association (AHA) and The American Health Information Management Association (AHIMA) [PDF, 388KB] Draft AHA/AHIMA Guidelines with Suggested CMS Revisions [PDF, 88KB] Proposed 2007 OPPS Rural Regression Analysis Files - Rural Regression Data - Unchanged from 2006 [PDF, 222KB] Proposed 2007 OPPS Rural Regression Analysis Files - Rural Regression Analysis Layout - Unchanged from 2006 [PDF, 11KB] Proposed 2007 OPPS Preamble Tables [ZIP, 76KB] Related Links Inside CMS There are no Related Links Inside CMS Related Links Outside CMS There are no Related Links Outside CMS

Last Modified Date : 09/20/2006
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