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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Unchanged	1	42
Changed	0	0
Inserted	0	0
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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	19	Passed XIN DEX? (Y / N): N/A
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