Fees Articles and Resources

Check Out Find-A-Code's Tools & Resources

Check-A-Fee

This tool provides a quick comparison of your fee to the Medicare fee schedule.

Customized Fee Analysis

Review fees for Medicare, Workers Compensation and UCR customized just for you.

Pro Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

MS-DRG Grouper

Use this tool to calculate payments to cover operating costs for inpatient hospital stays.

APC Packager/Pricer

Use this tool to calculate the Ambulatory Payment Classification and prices.

ASC Payment Calculator

Use this tool to calculate fees for the Ambulatory Surgical Center.

Patient Responsibility Calculator

Quickly Calculate Patient Payment

Map-A-Code

CPT/HCPCS to RVU/Fees

RVUs & Medicare Fees

RVUs & Medicare Fees

Additional Links and Resources

Critical Access Hospitals Fees

Critical Access Hospitals Fees, Designations, Etc.

HCUP Inpatient Payer Data

HCUP - Healthcare Cost and Utilization Project

MLN Fact Sheet

For ICD-10-CM, ICD10-PCS, CPT, and HCPCS Code Sets

Outpatient Facility Fees

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

UCR - VA, Payer Rates and Charges

Inpatient MS-DRG FY 2020 v3.26

How to Use the Searchable MPFS

How to use the Searchable Medicare Physician Fee Schedule (MPFS)

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

Final Rule on Communications Technology and 2021 Physicians Fee Schedule

|

To create a healthcare system that will benefit providers as well as Medicare beneficiaries there have been several new rules issued that begin on or after January 01, 2021. CMS released the final policy and payment provisions on December 01, 2020, which includes the physician fee schedule (PFS) for 2021. ...

Read the article →

My Location and CBSA is Missing!

|

We often get questions on missing Core Based Statistical Areas, known as CBSAs. CBSAs are used for pricing and other factors according to the geographical location. If you do not see your CBSA, it is important to note they are not missing - it may not have an assignment, according to ...

Read the article →

Impact of 2021 Proposed Medicare Fee Schedule on Chiropractic Offices

|

On August 3, 2020, the proposed Medicare Physician Fee Schedule for 2021 was released. This 1,355 page document includes some sweeping changes to the Medicare program. There are a few items in particular which should be noted by chiropractic offices.

Read the article →

Payment Adjustment Rules for Multiple Procedures and CCI Edits

|

Surgical and medical services often include work that is required to be done prior to a procedure and post-procedure. When there are multiple procedures done by the same physician, group, or another qualified healthcare professional on the same day, the pre and post work is only required once. Therefore, CMS ...

Read the article →

Understanding UCR Inpatient Fees used on DRGs

|

Read the article →

Outpatient Facility Pricing

|

Our newest feature launch offers UCR pricing for Outpatient Facility. We recently released pricing information based on databases of insurance claims from private-sector health care providers.Usual, customary, and reasonable charges (UCR) are medical fees used when there are no contractual pricing agreements and are used by certain healthcare plans and third-party payers to generate ...

Read the article →

Spotlight: UCR Fees are Available on DRGs- Check it Out!

|

Check out the information page on any DRG! Look up DRGs by going to the list of DRG codes found under the Codes tab at the top of the page, or simply type in the desired DRG by using the search bar on the homepage. When using the search bar, be sure you have the ...

Read the article →

Preview the PDGM Calculator (HIPPS calculator) for Home Health Today

|

Find-A-Code's Patient-Driven Groupings Model (PDGM) home health payment calculator (HIPPS Calculator) simplifies payment calculations. See https://www.findacode.com/tools/home-health/ .

Read the article →

New Medicare Home Health Care Payment Grouper — Are You Ready?

|

In 2020, Medicare will begin using a new Patient-Driven Groupings Model (PDGM) for calculating Medicare payment for home health care services. This is probably the biggest change to affect home health care since 2000.

Read the article →

VA: How UCR Charges are Determined

|

How does the VA determine charges billed to third party payers for Veterans with private health insurance? According to the VA. "38 C.F.R 17.101 stipulates the basic methodology by which VA bills third party insurance carriers. In order to generate a charge for medical services, VA establishes reasonable charges for five ...

Read the article →

And Then There Were Fees...

|

Find-A-Code offers fees and pricing for just about everything, this article will address two of some of the most common payment systems with CMS. (OPPS) -Outpatient Medicare Outpatient Prospective Payment System. (MPFS)- Medicare Physician Fee Schedule The Fees section on each code page is determined on the type of services...

Read the article →

VA- Reasonable Charges Rules, Notices, & Federal Register

|

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 →

Spinal Cord Stimulator Used for Chronic Pain

|

Chronic pain is a condition that can be diagnosed on its own or diagnosed as a part of another condition. When coding chronic pain, there is no time frame defining when pain becomes chronic pain; the provider’s documentation should be used to guide the use of these codes. ICD-10-CM Diagnosis Codes ...

Read the article →

Show older articles ↓


There are more articles. View all articles...

View articles for the current subject by subtopic:




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


Select the webinar title to view a summary and link to the webinar video.

Skyrocket Cash Collections, Even When Patients Have High Deductibles and Copays

Are you seeing $5,000, $7,500, and even $10,000 deductibles? We're hearing doctors from every state tell us they can't believe how high patients' insurance deductibles are getting. Some are even reporting patient copays of $50 - $60. (That's more than most docs charge for their adjustment!) When accepting insurance, do you know that you CAN'T discount services that apply to these large deductibles? And you can't treat them as "cash" patients. There is a way to overcome this problem of rising deductibles & copays and collect more cash - all while still accepting insurance. This one strategy alone will help you increase your case acceptance, even when patients have $10,000 deductibles. Join Dr. Miles Bodzin for this information-packed presentation. If you're going to be able to serve your communities and sleep well at night, you need this information.

Watch the video →

How to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRA

The #1 concern reported by CMS about chiropractors is that, as a profession, we do a poor job of understanding maintenance care. Of course, that is THEIR definition of maintenance care. When you better understand the rules of medical necessity in Medicare, you begin to see what they are talking about. The truth is that there is a “gray” area between the distinct “white” of active treatment and the “black” of maintenance treatment, and that gray area is confusing when defining “covered” vs. “not covered” chiropractic care in Medicare. Join us to find out the following critical information in time for the MACRA Section 514 implementation January 1, 2017: Find out exactly what Medicare deems as maintenance care and how to recognize it with our patients Learn what your options are for treating your Medicare patient’s maintenance care for cash Hear scripting that is vital to your patient understanding what’s going on with their coverage, or lack thereof Properly document the difference between active and maintenance care Better manage those little incidents that come up for chronic, Medicare patients

Watch the video →




   (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.