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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)
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June 23rd, 2021
UCR Anesthesia Fee Calculations and Base Units - Now Available!
Published June 23rd, 2021|
As per customer request, Find-A-Code now offers UCR Anesthesia Fee Calculations along with CMS and ASA. The anesthesia fee calculations can be found under the Fees section of the code and under the Anesthesia Fee Information. Time units are computed by dividing the reported anesthesia time by 15 minutes (17 minutes / 15 minutes = 1.13 units). NOTE: Always ...
December 8th, 2020
Final Rule on Communications Technology and 2021 Physicians Fee Schedule
Published December 8th, 2020|
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. ...
September 23rd, 2020
My Location and CBSA is Missing!
Published September 23rd, 2020|
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 ...
August 7th, 2020
Impact of 2021 Proposed Medicare Fee Schedule on Chiropractic Offices
Published August 7th, 2020|
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.
July 9th, 2020
Payment Adjustment Rules for Multiple Procedures and CCI Edits
Published July 9th, 2020|
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 ...
July 1st, 2020
Understanding UCR Inpatient Fees used on DRGs
Published July 1st, 2020|
June 15th, 2020
Outpatient Facility Pricing
Published June 15th, 2020|
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 ...
March 30th, 2020
Spotlight: UCR Fees are Available on DRGs- Check it Out!
Published March 30th, 2020|
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 ...
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