K&L Gates Triage: Activation of Validation Edits for OPPS Providers with Multiple Service Locations

*UPDATE* Since initial publication of this episode, CMS has delayed implementation of this policy until April 2020.

The Centers for Medicare and Medicaid Services (CMS), recently announced that it plans to activate systematic validation edits for Outpatient Prospective Payment System (OPPS) providers with multiple service locations that will verify whether the address listed on each claim matches the address in CMS’ Provider Enrollment, Chain and Ownership System (PECOS) database. In this episode, Gabe Scott provides some background on why CMS is making this change, why it is important, and what providers with off-campus provider-based locations might do to address this issue.

About Triage
Triage: Rapid Legal Lessons for Busy Health Care Professionals has been created by K&L Gates to convey information about developments in health law through short podcasts.

If you work in the health care industry, you have grown accustomed to frequent changes in laws and regulations. On some days, it may seem like an insurmountable task to keep up with every change, especially as a new presidential administration and new policies take shape.

The K&L Gates Health Care Practice will regularly create Triage podcasts to help you learn about the latest developments in health law. Our lawyers will identify the most important changes and analyze the impact of these changes on our clients.

Catch-up on past episodes by visiting our Triage program page.

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