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4.15.2014 Outpatient Procedures Utilization – Percentage Done in Preferred Facility (OSU) In the MY 2012 specifications, in the step for counting total outpatient procedures both Option A and Option B allowed both POS and UB Type of Bill codes. In the MY 2013 specifications, it appears that Option A only allows POS codes and Option B only UB Type of Bill codes. Is this change intentional?

Thank you for bringing this to our attention. When converting coding table references to value set references, the Option A UBTOB language and Option B POS language was inadvertently omitted. For OSU, Options A and B should include both POS and UB Type of Bill codes and should read as follows:

Any of the following code options meet criteria:

· Option A: Ambulatory Surgery Option A Value Set with Ambulatory Surgery POS Value Set .

· Option A: Ambulatory Surgery Option A Value Set with Ambulatory Surgery UBTOB Value Set.

· Option B: Ambulatory Surgery Procedure Value Set with Ambulatory Surgery UBREV Value Set and Ambulatory Surgery UBTOB Value Set.

· Option B: Ambulatory Surgery Procedure Value Set with Ambulatory Surgery UBREV Value Set and Ambulatory Surgery POS Value Set.

This will be corrected in the next release of the manual.

ALL 2013