By: Christopher A. Parrella, Esq., CPC, CPCO, CHC

Parrella Health Law, Boston, Ma.

Parrella Health Law is pleased to announce an important update in Medicare billing for Intensive Outpatient Program (IOP) services, effective January 1, 2024. This new policy, outlined in document MM13222, introduces condition code “92,” revolutionizing billing procedures for IOP services. Providers such as hospital outpatient departments, critical access hospitals, and community mental health centers will now have clearer guidelines for patient eligibility, covered services, and payment methods. This update emphasizes the necessity for billing staff to be well-informed about these changes. It is a significant step forward in ensuring that IOP services are billed accurately and efficiently, benefiting both providers and patients. For detailed information on these changes, please refer to the official document CMS MM13222.

In conclusion, these new Medicare billing guidelines for IOP services represent a significant advancement in healthcare administration. We at Parrella Health Law are committed to providing our clients with the most up-to-date information and guidance. Should you have any questions or require assistance in navigating these changes, please do not hesitate to contact our firm at info@parrellahealthlaw.com or 857-328-0382. Our team of experts is ready to support you in ensuring compliance and optimizing your billing processes.

Christopher Parrella, ESQ, CPC, CHC, CPCO, is the founding partner of Parrella Health Law in Boston, Mass. The firm focuses exclusively on healthcare defense and compliance matters. Chris also travels the country on behalf of a wide range of healthcare organizations, lecturing on a variety of health care enforcement and compliance topics. Chris is one of a handful of health care attorney’s that are also Certified Professional Coders (CPC) and is a member of the AAPC’s National Legal Advisory Board and Ethics Committee.  He is also a Certified Professional Compliance Officer (CPCO) and Certified in Health Care Compliance (CHC.)