1. EPMO Open Source Coordination Office Redaction File Detail Report

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1.1 Files compared

# Location File Last Modified
1 CPEE_v1_Build_7.zip\CPEE_v1_Build_7\Build 7 - Sprint 15\CPE001-112 - PL Zip in the PPS payment methodology for ASC Hospital Based Facility CPE Teams 1-3 Developer Form - CPE001-112.docx Tue Apr 24 15:18:40 2018 UTC
2 CPEE_v1_Build_7.zip\CPEE_v1_Build_7\Build 7 - Sprint 15\CPE001-112 - PL Zip in the PPS payment methodology for ASC Hospital Based Facility CPE Teams 1-3 Developer Form - CPE001-112.docx Tue Apr 24 16:11:49 2018 UTC

1.2 Comparison summary

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Changed 0 0
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Removed 0 0

1.3 Comparison options

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1.5 Comparison detail

  1   Routine Na me:  __N/A __________ ________
  2   Developer  Name(s):   _Oliver Wi lms
  3   Associated  User Stor y/Stories:     ___CPE 001-112___ __________ ___
  4  
  5   Effective  with servi ces provid ed on or a fter Novem ber 1, 199 4, the CHA MPVA reimb ursement m ethodology  
  6   for facili ty charges  associate d with pro cedures pe rformed in  an ambula tory surge ry setting  
  7   (includes  both hospi tal based  settings a nd freesta nding surg ical cente rs) was ch anged to a  
  8   prospectiv e payment  system. Th is methodo logy, mode led after  Medicare,  is based o n the cate gorization  
  9   of certain  ambulator y surgical  procedure s into ele ven paymen t groups.   Each paym ent group  is 
  10   establishe d on a cos t-basis an d adjusted  for area  labor cost s based on  the MEI ( Medicare E conomic In dex). 
  11   NOTE: rela ted servic es, aka an cillary ch arges are  allowed as  billed fo r hospital  based fac ilities 
  12   and denied  for frees tanding fa cilities.  We are una ble to uti lize our n ormal CMAC  rates for  
  13   ancillary  charges be cause clai m is alrea dy paying  under a sp ecial paym ent method olgy = ASC  
  14   and our cu rrent syst em cannot  pay two di fferent pa yment meth odologies  under the  same claim .
  15   .
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  18  
  19   Passed XIN DEX?  (Y /  N):  N/A
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