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
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
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
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
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
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
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
Understanding how payment works with Medicare payment indicators and the impact a modifier has on payment is vital to pricing. Even if you are not billing Medicare, most carriers follow Medicare's policies for participating and non-participating rules. Here is an article from Regence ... Read More
Level II Coding Procedures called HCPCS or Level II codes.
There are three main code sets and the Healthcare Common Procedure Coding System (HCPCS) is the third most common code set used. They are often called Level II codes and are used to report non-physician products, supplies, and pro... Read More