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

Global Period/Days

Global Period/Days

Additional Links and Resources

Guidelines & Manuals

Research Links and Resources by Category

Medicare Claim Review

Medicare Claim Review Programs

Newsletters

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

Outpatient Facility Fees

UCR Section VA Table F Nationwide charges v3.27 (January-December 2020)

Case Mix Calculation Example

CMI – Case Mix index

Locations

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

Provider Based Facilities- CMS

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

Ch. 5 Medicare Claims Processing Manual

Part B Outpatient Rehabilitation and CORF/OPT Services

Select the title to see a summary and a link to the full 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 CMS.gov and answers the most common questions regarding DRGs ...

Read the 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 ...

Read the article →

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 ...

Read the article →

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 ...

Read the article →

Show older articles ↓




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
pricing
for any budget
sign IN
welcome back!

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