2 results.
Medical Necessity under OPPS: a Look at the Challenges
Author: Carter, Darren
Source: Journal of AHIMA
Publication Date: February 2002
The outpatient prospective payment system (OPPS) has dramatically changed claims processing by introducing an automated system. Medical necessity validation has also been automated as a result, leaving hospitals with increased rejections. This article explores how OPPS impacts the medical nece....