Find-A-Code Focus Newsletter

Who Knew? There are Three Types of Add-On Codes

January 21, 2020 - By Chris Woolstenhulme
Using add-on codes with HCPCS/CPT is not as simple as 123! Although there are three different groups of add-on codes assigned by CMS, these are used to identify code edits. It is easy to see the add-on code with some codes; we can see the instructional notes and phrases such as “Use Additional... Read More

Denials due to MUE Usage - This May be Why!

January 07, 2020 - By Chris Woolstenhulme
CMS assigns Medically Unlikely Edits (MUE's) for HCPCS/CPT codes, although not every code has an MUE. MUE edits are used to limit tests and treatments provided to a Medicare patient for a single date of service or for a single line item on a claim form. It is important to understand M... Read More

Preview the PDGM Calculator for Home Health Today

December 05, 2019 - By Wyn Staheli
With the transition to the new case-mix classification model, the Patient-Driven Groupings Model (PDGM) just around the corner, now is the perfect time to preview Find-A-Code’s home health PDGM Calculator for Medicare! Plug in your numbers and see just HOW your payments will be... Read More

HIPAA Final Rule Eliminates HPID and OEID

November 19, 2019 - By Wyn Staheli
In October, CMS released a final rule which eliminates the requirement for health plans to obtain a unique health plan identifier (HPID) and also eliminates the voluntary use of the other entity identifier (OEID). This change becomes effective December 27, 2019. Back in 2012, there w... Read More

VA: How UCR Charges are Determined

October 28, 2019 - By Chris Woolstenhulme
How does the VA determine charges billed to third party payers for Veterans with private health insurance? According to the VA. "38 C.F.R 17.101 stipulates the basic methodology by which VA bills third party insurance carriers. In order to generate a charge for medical services, VA establishes reas... Read More

CMS says Codes are on the Move!

October 21, 2019 - By Chris Woolstenhulme
Have you noticed your LCDs are missing something? CMS is moving codes out of LCDs and into Billing and Coding Articles. MACs began moving ICD-10-CM, CPT/HCPCS, Bill Type, and Revenue codes in January 2019, and will continue through January 2020. Therefore, if there is an LCD with its... Read More

2020 Official ICD-10-CM Coding Guideline Changes Are Here!

October 07, 2019 - By Wyn Staheli
It’s that time of year for offices to get ready for the ICD-10-CM code revisions. As part of that process, it’s also good to know what is going on with the ICD-10-CM Official Guidelines for Coding and Reporting. In the examples listed below, strikeout text is deleted and highlighted... Read More

ICD-10-CM and ICD-10-PCS Diagnosis and Procedure Code Changes

October 02, 2019
View them here!ICD-10-CM Diagnosis Code Changes ICD-10-PCS Procedure Code Changes... Read More

UCR Fees are Available on DRGs- Check it Out!

September 24, 2019 - By Brittney Murdock
Find-A-Code Announces: UCR Fees are Available on DRGs!   Check out the information page on any DRG! Look up DRGs by going to the list of DRG codes found under the Codes tab at the top of the page, or simply type in the desired DRG by using the search bar... Read More

E-Health is a Big Deal in 2020

September 16, 2019 - By Chris Woolstenhulme
The new 2020 CPT codes are on the way! We are going to see 248 new codes, 71 deletions, and 75 revisions. Health monitoring and e-visits are getting a lot of attention; 6 new codes play a vital part in patients taking part in their care from their own home. New patient-initiated online di... Read More

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