Epoch_OP_ Resource Description
The Epoch Outpatient Resource file was updated on 9/29/2020. It includes the most current Medicare and NYS Medicaid files as listed below:
Federal Court Upholds Transparency Policy
On June 23, 2020, a federal judge upheld a policy that requires hospitals and health insurers to publish their prices for health services.
The American Hospital Association said the administration did not have the legal authority and that it would create overwhelming administrative burdens for hospitals. The federal judge disagreed saying hospitals need to respond to a market where consumers are more empowered.
Epoch Outpatient Resource file Updates:
Addendum A- 9/25/2020 (Addendum A& B are typically updated quarterly)
Addendum B- 9/25/2020 update
Physician RVU table- 8/18/2020 update (schedule D-October)
Physician Fee Schedule- 8/18/2020 update (schedule D-October)
Medicare Clinical Lab Fee Schedule- 6/3/2020
Addendum M Composites- 11/1/2019 2020 OPPS FR update (CMS updated annually)
Status Indicators (addendum D1)- 11/1/2019 2020 OPPS FR update (CMS updated annually)
IP only list (addendum E)- 11/1/2019 2020 OPPS FR update (CMS updated annually)
OTP FR fee schedule- 11-1-2019
Medicaid APG History and Fee Schedule:
APG Based Weights- 1/1/2020
APG Procedure Based Weights- 1/1/2020
APG Fee Schedule Procedures- 7/1/2019
Revenue code table- OPPS Final Rule (CMS updated annually)
OCE edit table- Jan 1, 2020 (CMS updated annually)