Hospital Articles and Resources

Hospital Billing tools offer many solutions to support hospital billing processes as well as auditing, payers' pricing, life planning and more....

Use the DRG Grouper to determine how much Medicare will pay, further group DRG's into Major Diagnostic Categories (MDCs), and use the ICD-10-PCS official guidelines to ensure compliance.


Code Sets

DRG Codes

Diagnosis Related Group (DRG) Codes

ICD-10-PCS Procedure Codes

ICD-10-PCS Procedure Codes Search

Find-A-Code's Tools & Resources

MS-DRG Grouper

Quickly find a DRG based on ICD-10-CM Diagnosis codes and ICD-10-PCS Procedure Codes

DRG Grouper Tutorial

DRG Grouper Tutorial

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

Type of Bill

Type of Bill Facility Codes

Other Code Sets UB-04

Other Code Sets UB-04

Revenue Codes

UB-04 Revenue Codes

Processing Manual

CMS- Critical Access Hospitals Center

CMS- Critical Access Hospitals Center

Additional Links and Resources

Guidelines & Manuals

Search Links and Resources by Category

ICD-10-PCS Guidelines

Official ICD-10-CM Guidelines for Coding and Reporting

Claim Form Instructions

Instructions for the UB04/CMS1450 02/12 Claim Form

PUB 100 - Medicare IOMs

PUB 100 - Medicare Internet-Only Manuals (IOMs)

Medicare Claim Review

Medicare Claim Review Programs

MLN Booklet: Medicare Billing

Medicare Billing: Form CMS-1450 and the 837 Institutional


Newsletters and Articles

2020 ICD-10 PCS Codes

These 2020 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2019 through September 30, 2020.

Hospital Outpatient Regulations and Notices

Hospital Outpatient Regulations and Notices

Long-Term Care Hospital PPS

Long-Term Care Hospital Prospective Payment System

Inpatient Hospital Billing

Ch. 3 Medicare Claim Processing Manual

General Billing Requirements

Ch. 1 Medicare Claims Processing Manual

Part B Hospital Billing

Ch. 4 Medicare Claims Processing Manual

Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims

Ch. 8 Medicare Claims Processing Manual

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Critical Access Hospitals

Critical Access Hospitals Fees, Designations, Etc.

HCUP Inpatient Payer Data

HCUP - Healthcare Cost and Utilization Project

Revenue Code Requirements

Requirements for Outpatient Claims

Noridian: Quick Reference Billing Guide

Noridian: Quick Reference Billing Guide

OIG Compliance Resources

OIG Compliance Resource Portal

OIG Compliance Guidance

OIG Compliance Guidance

Case Mix Calculation Example

CMI – Case Mix index

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

PCS Coding for Ankle Fracture - Look Deeper Into the Codes!


If you're looking for ankle fractures in ICD-10-PCS, you may need to look a little deeper. Let's take a look at coding an ankle fracture such as a trimalleolar fracture. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle ...

Read the article →

IPPS and DRG's: What it Means


Understanding hospital pricing can get complicated, so we have broken it down according to CMS and the acute Inpatient Prospective Payment System, also known as IPPS. Find-A-Code uses IPPS for inpatient pricing with our MS-DRG grouper. The following information comes from and answers the most common questions regarding DRGs ...

Read the article →

Coding with PCS When There is No Code


ICD-10-PCS covers ALMOST everything! But not quite! What if a body system does not contain a body part for toes or fingers? What about an elbow? When it does not cover what you are looking for, where do you turn?  To the guidelines, of course! There are ICD-10-PCS guidelines just as ...

Read the article →

Understanding UCR Inpatient Fees used on DRGs


Read the article →

Show older articles ↓

There are more articles. View all articles...

View articles for the current organization by subtopic:

Access to this feature is available in the following products:
  • HCC Plus
  • Find-A-Code Professional
  • Find-A-Code Facility Base

   (There are no webinars at this time, please check back later.)

   (There are no podcasts at this time, please check back later.)

suggest a resource

If you know of a resource that should be included here (links, data, etc.) please contact us.

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.