Facilities Articles and Resources
News and Important InformationFind-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 Global Period/DaysGlobal Period/Days 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 Outpatient Facility FeesUCR Section VA Table F Nationwide charges v3.27 (January-December 2020) Case Mix Calculation ExampleCMI – Case Mix index LocationsCritical 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 Provider Based Facilities- CMSOwned and operated by single entities referred to as "main providers." Ch. 5 Medicare Claims Processing ManualPart B Outpatient Rehabilitation and CORF/OPT Services Select the title to see a summary and a link to the full article. December 8th, 2020 IPPS and DRG's: What it Means| Published December 8th, 2020 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 ... 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 ... (There are no webinars at this time, please check back later.) (There are no podcasts at this time, please check back later.)
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