AMA Clinical Examples in Radiology - 2008 Bulletin 1
CMS Offers Easy Way to Calculate Medicare Reimbursement for Your Geographic Area
CMS Offers Easy Way to Calculate Medicare Reimbursement for Your Geographic Area The Centers for Medicare and Medicaid Services (CMS) provides a calculator on its Web site that will allow you to easily compute reimbursement amounts from Medicare. All you need to do is fill in the appropriate Healthcare Common Procedure Coding System (HCPCS) code(s), specific payment locality (e.g., metropolitan Pennsylvania), and a few other fields, and the CMS computer will do all the work. The CMS Web site provides additional useful information that is worth taking the time to review, such as a listing of payment policy...
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Article Overview
This short article introduces a CMS online calculator for estimating Medicare reimbursement in a specific geographic area. It is aimed at coders, billers, and practice staff who need to review fee schedule information and related Medicare payment data at a high level. The article also notes supporting CMS reference items such as payment policy indicators, relative value units, and geographic practice cost indexes.
Why This Topic Matters
It helps readers identify where to find Medicare payment information for a locality and understand the broader fee schedule resources CMS provides.
What You Will Learn
- How CMS organizes Medicare fee schedule lookup information online
- What types of locality-based payment data the CMS tool can display
- Which related CMS reference items are available alongside the lookup tool
- How the article frames the physician fee schedule search process at a high level
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Radiology billing staff
- Revenue cycle staff
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