Facilities Articles and Resources
Find-A-Code's Tools & ResourcesFacility NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. ASC Topic PageAmbulatory Surgical Center Links and Resources APC Topic PageAmbulatory Payment Classifications Links and Resources LocationsProvider Based Facilities- CMSOwned and operated by single entities referred to as "main providers." Critical Access HospitalsCritical Access Hospitals Fees, Designations, Etc. Noridian: ASC ResourcesNoridian JE Part B Ambulatory Surgical Center (ASC) Resources Hospital Outpatient Regulations and NoticesHospital Outpatient Regulations and Notices Long-Term Care Hospital PPSLong-Term Care Hospital Prospective Payment System Ch. 5 Medicare Claims Processing ManualPart B Outpatient Rehabilitation and CORF/OPT Services Additional Links and ResourcesGuidelines & ManualsResearch Links and Resources by Category Medicare Claim ReviewMedicare Claim Review Programs NewslettersNewsletters and Articles Part B Hospital BillingCh. 4 Medicare Claims Processing Manual Billing Requirements for OPPSProviders with Multiple Service Locations HCUP Inpatient Payer DataHCUP - Healthcare Cost and Utilization Project Noridian: Quick Reference Billing GuideNoridian: Quick Reference Billing Guide OIG Compliance ResourcesOIG Compliance Resource Portal OIG Compliance GuidanceOIG Compliance Guidance Select the title to see a summary and a link to the full article. August 21st, 2019 So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?| Published August 21st, 2019 You know how to find a procedure code and you may even know how to do the procedure, but where does the reimbursement come from? It seems to be a mystery to many of us, so let's clear up some common confusion and review some of the main reimbursement systems. One of the ... August 19th, 2019 Understanding Payment Indicators| Published August 19th, 2019 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 on their policy statement, describing the rules ... March 20th, 2019 Type of Bill Code Structure (2018-08-30)| Published March 20th, 2019 - Last Review/Update March 25th, 2019 The UB-04 claim form (also known as CMS 1450) is the standard facility and residential claim form used to report health claims. The Type of Bill is reported in Block No. 4 of the UB04 claim form.
Type of bill codes are four-digit codes that describe the type of bill a ... October 2nd, 2018 Tools and Resources for Life Care Planners| Published October 2nd, 2018 Life Care Planners play a vital and underappreciated including understanding the progression of a disease and lifetime clinical treatment options, research, delete (I combined this into the paragraph above) compiled into one easy-to-use resource. a unified providing a single destination for procedure coding coding to find information on... August 27th, 2018 Pricing for ASC’s and APC’s| Published August 27th, 2018 For Medicare purposes, an Ambulatory Surgical Center Resources (ASC) is a distinct entity that operates exclusively to furnish surgical services to patients who do not require hospitalization and in which the expected duration of services does not exceed 24 hours following admission. ASC payment groups determine the amount that... (There are no webinars at this time, please check back later.) |
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