Medicare Transition Outpatient Payment
Hospitals subject to the Outpatient Prospective Payment System (“OPPS”) may have been eligible for a transition outpatient payment (“TOP”) under Regulations at CFR 419.70. Except for certain classes of hospitals, these payments were for services rendered between 8/1/00 through 12/31/03.
Our research team just completed a review of TOP calculations for this period of time for every hospital in the county. Based upon this research, we are working with several providers to recover additional reimbursement for one or more reporting periods during the time period above.
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