HCFA places updated training manuals on-line
Health care facilities searching for current information about the outpatient prospective payment system (PPS) can now view updated training manuals used by fiscal intermediaries to train providers. The Health Care Financing Administration (HCFA) in Baltimore has placed them on its Web site.
A brief summary of the changes is included for each chapter of the manuals. This will allow those who already have the manuals to review the changed pages only.
The training manual is intended for use as a guide to facilitate training. Those affected by the outpatient PPS are advised to rely on the final rule and the implementing instructions for the outpatient PPS (PM-A-0036) and the Outpatient Code Editor (PM-A-0035) for official policy and instructions for the outpatient PPS. The final rule and instructions are also available on-line: www.hcfa.gov.
In addition to the training manuals, HCFA has also placed the PRICER logic on the Web. The PRICER logic, which is technical in nature, will show how HCFA will price claims/services grouped by the Outpatient Code Editor under the outpatient PPS. To view the training manuals or the PRICER logic:
1. Go to http://www.hcfa.gov/medlearn/ refguide.htm.
2. Scroll down to Outpatient Prospective Payment System Training Session.
3. Look for the table of contents for the training manuals in this section, and click on the chapters you want.
4. Find the PRICER logic by scrolling just beyond the training manual contents.
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