On Tuesday, March 24, 2020, the Centers for Medicare and Medicaid Services (CMS) made an announcement that systematic edits for the Outpatient Prospective Payment System (OPPS) providers with multiple service locations are
. Edits were expected to go into effect in April 2020, but the CMS released a revised
MLN Matters SE19007
stating that edits were delayed until further notice.
The CMS is requiring that the service facility location address for off-campus, outpatient, provider-based departments be reported on the claim. Full instructions can be found in the MLN Matters Articles linked below. Medicare will cross reference the address reported on the claim with the facility locations on file in the Provider Enrollment, Chain, and Ownership System (PECOS) in order to ensure that services are being performed in an enrolled Medicare location.