Facilities Articles and Resources

Find-A-Code's Tools & Resources

Facility NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

ASC Topic Page

Ambulatory Surgical Center Links and Resources

APC Topic Page

Ambulatory Payment Classifications Links and Resources


Provider Based Facilities- CMS

Owned and operated by single entities referred to as "main providers."

Critical Access Hospitals

Critical Access Hospitals Fees, Designations, Etc.

Noridian: ASC Resources

Noridian JE Part B Ambulatory Surgical Center (ASC) Resources

Hospital Outpatient Regulations and Notices

Hospital Outpatient Regulations and Notices

Long-Term Care Hospital PPS

Long-Term Care Hospital Prospective Payment System

Ch. 5 Medicare Claims Processing Manual

Part B Outpatient Rehabilitation and CORF/OPT Services

Additional Links and Resources

Guidelines & Manuals

Research Links and Resources by Category

Medicare Claim Review

Medicare Claim Review Programs


Newsletters and Articles

Part B Hospital Billing

Ch. 4 Medicare Claims Processing Manual

Billing Requirements for OPPS

Providers with Multiple Service Locations

HCUP Inpatient Payer Data

HCUP - Healthcare Cost and Utilization Project

Noridian: Quick Reference Billing Guide

Noridian: Quick Reference Billing Guide

OIG Compliance Resources

OIG Compliance Resource Portal

OIG Compliance Guidance

OIG Compliance Guidance

Select the title to see a summary and a link to the full article.

So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?


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 ...

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Understanding Payment Indicators


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 ...

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Type of Bill Code Structure (2018-08-30)


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 ...

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Tools and Resources for Life Care Planners


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...

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Pricing for ASC’s and APC’s


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...

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