Attention All OPPS Providers: Provider-Based Department Edits Being Implemented on/after 8/1/2023
Certain edits are being implemented on/after 8/1/2023 to ensure you are billing your provider-based locations correctly. The edits are FISS reason codes 34977, 34978, 34984, 34985, 34986, 34987 apply to claims submitted by OPPS providers with multiple service locations and will be permanently activated to edit your claims on/after 8/1/2023 according to the following implementation schedule:
| Date | Jurisdiction | Region |
|---|---|---|
| 8/1/2023 | J6 | California and Wisconsin |
| 8/1/2023 | JK | Maine |
| 8/15/2023 | J6 | Minnesota |
| 8/15/2023 | JK | Massachusetts |
| 8/29/2023 | J6 | Illinois |
| 8/29/2023 | JK | New Hampshire and Vermont |
| 9/12/2023 | JK | New York, Connecticut and Rhode Island |
For additional information, please review “Attention all OPPS Providers: Provider-Based Department Edits Being Implemented on/after 8/1/2023”.
In addition, we have a companion article “[UPDATE] Billing Reminders for OPPS Providers with Multiple Service Locations” that provides additional helpful information.
Posted 7/25/2023