![]() Prior to OPPS, the software focused solely on editing claims without specifying any action to take when an edit occurred. ![]() In addition to its editing function, the I/OCE program screens each procedure code against a list of approximately 2500 ASC procedures, and summarizes whether or not the bill is subject to the ASC limitation.Īppendix A contains lists of codes associated with program edits for both OPPS and non-OPPS processing. ![]() Purpose of the non-OPPS I/OCE functionality Determines payment adjustment, if applicable.Determines a claim disposition based on generated edits.Assigns CMS-designated status indicators.Edits a claim for accuracy of submitted data.The software performs the following functions when processing a claim: The Integrated Outpatient Code Editor (I/OCE) software combines editing logic with the new APC assignment program designed to meet the mandated OPPS implementation.
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