Choose the appropriate HCPCS/CPT® codes, diagnosis codes, and modifiers. Identify the standard APC grouping for each HCPCS/CPT® code. View Medicare’s code lists of unacceptable, questionable and non-covered codes.

Understand Medicare OCE edits and MUEs. Helps providers prevent OCE rejections from occurring and helps payers explain why an edit occurred. View changes to status indicators and APC assignments over time.

Access all Medicare OPPS and OCE regulations and program memoranda. View links to proprietary documentation produced by Optum regulatory experts describing and interpreting OPPS, APCs, and the OCE.