A driving force for health equity

The 2019 ADA (CDT), AMA (CPT), HCPCS, and RVU code updates that take effect on January 1, 2019 are currently available in Epic Production. Please refer to this spreadsheet for descriptions and details about these updates.  

The codes have an effective date of January 1, 2019. We have enabled Epic Release the ability to accept future dates of services for testing purposes in regards to fee schedules and preference list. On January 2, 2019 this feature will be reverted in Epic Release. 

As part of this maintenance, Service Areas are responsible for maintaining their own fee schedules and encounter forms, and for monitoring sliding fee scales. The following will need to be completed by January 1, 2019: 

Review the 2019 DELETED codes and identify codes that are currently in use (OCHIN will remove these codes from the fee schedule, preference lists, and SmartSets).

  • Review the 2019 NEW codes and identify codes that should be used (your organization will need to add these codes to the fee schedule and preference lists).

  • Create fee schedule contact date of January 1, 2019, add new codes/prices, and/or delete obsolete codes. For testing in REL, we have allowed the ability to enter future dates of service for testing. This setting will be reverted post January 1, 2019.

  • If new codes are needed for the sliding scale table, please submit a JIRA with the specific request.

  • Please note that any custom charge entry edits may need adjustment to fit your organization's needs.

  • If you are still using printed encounter forms or fee tickets, follow your internal organizational process for notification and update of the encounter forms.

OCHIN will be working on the replacement codes for the internal use code changes. Your organization should not need to do anything with these codes unless there is no new code available. 

If you have any questions, please contact your Member Care Team. Kevin Everidge, OCHIN’s Procurement and Contracts Manager, will reach out to your organization shortly for confirmation of your current license needs based upon our system information.