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.

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

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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 ...

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UB-04 Claim Form

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The UB-04 Claim Form, also known as CMS-1450, is used for submitting claims for reimbursement for specially designated facilities. The 837i is the electronic version of the form. Much like the 1500 Claim Form, maintained by the National Uniform Claim Committee, the UB-04 Claim Form is maintained by the National Uniform Billing Committee (NUBC) which maintains lists of approved codes used on various fields on the form (e.g., revenue codes, condition codes). Third-party payers, including Medicare, may have their own adaptations of the general instructions published by the NUBC.

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IPPS and DRG's: What it Means

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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 ...

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