![]() It also did not compute any information for payment purposes. Prior to OPPS, the software focused solely on editing claims without specifying any action to take when an edit occurred. In addition to its editing function, the I/OCE program screens each procedure code against a list of approximately 2500 ASC procedures, and summarizes whether or not the bill is subject to the ASC limitation.Īppendix A contains lists of codes associated with program edits for both OPPS and non-OPPS processing. ![]() Purpose of the non-OPPS I/OCE functionality Determines payment adjustment, if applicable.Determines a claim disposition based on generated edits.Assigns CMS-designated status indicators. ![]()
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