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Guidelines and Manuals

Below is a list of categories with applicable links and resources for your convenience.

I. CPT Coding

AMA's E&M Guidelines

Evaluation and Management (E/M) Services Guidelines

AMA's CPT Section Guidelines

Search AMA's CPT Guidelines by Section

E&M Code Guidelines & Instructions

E&M Code Guidelines and Evaluation & Management Code Instructions

1995 E&M Documentation Guidelines

1995 Documentation Guidelines for Evaluation & Management Services

1997 E&M Documentation Guidelines

1997 Documentation Guidelines for Evaluation and Management Services

II. Diagnostic Coding

ICD-10-CM Guidelines

The Official ICD-10-CM Guidelines for Coding and Reporting

ICD-10-CM Quick Reference

MLN's ICD-10-CM Classification Enhancements

ICD-9-CM Guidelines

The Official ICD-9-CM Guidelines for Coding and Reporting

III. Hospital/Facility Coding

ICD-10-PCS Official Guidelines

The Official ICD-10-PCS Guidelines for Coding and Reporting

ICD-10-PCS Reference Manual and Files

ICD-10-PCS Reference Manual

ICD-9 Vol. 3 Coding Information

ICD-9 vol 3 Procedure Code Information

APC Coding

APC Codes (Ambulatory Payment Classifications)

IV. Forms

InstaGuide to the CMS 1500

InstaGuide to the CMS 1500 Health Insurance Claim Form

Medicare CMS 1500 Instructions

Medicare CMS1500 02/12 Claim Form Instructions

Revised CMS-1500 Form Overview

The Revised CMS-1500 Form … at a Glance

Dental ADA Claim Form

ADA Claim Form 2006 - Paper

ADA Claim Form Instructions

ADA Claim Form 2006 - Electronic Instructions

V. Medicare

Provider Compliance Newsletter

Medicare Quarterly Provider Compliance Newsletter

Factsheets

Medicare Factsheets

PUB 100: Internet Only Manuals (IOMs)

CMS: Internet Only Manuals

PUB 100-01

General Information Manual

PUB 100-02

Benefit Policy Manual

PUB 100-03

National Coverage Determinations

PUB 100-04

Claims Processing Manual

PUB 100-05

Secondary Payer Manual

MIPS

Merit-based Incentive Payment System (MIPS)

MIPS Manual

Medicare Quality Reporting Incentive Programs Manual

CLIA

Clinical Laboratory Improvement Amendments (CLIA)

E&M Guides & Manuals

Medicare Evaluation & Management (E&M) Guides and Manuals

LCDs/Articles

Search LCDs, Articles, and NDCs by Medicare Contractors

Forms

Medicare Forms

NCCI Edits Policy Manual

NCCI Policy Manual Archive

Paper-Based Manuals

Medicare Paper-Based Manuals

FAQs

Medicare FAQs

VI. Miscellaneous

Federal Register

Federal Register Document Search

OIG Physician Compliance

OIG Compliance Program for Individual and Small Group Physician Practices

PubMed

Over 29 million citations for biomedical literature from MEDLINE, life science journals, and online books

Guidelines and Manuals Articles

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Guidelines and Manuals Tips


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Guidelines and Manuals Webinars

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Telehealth Policies for Medicare and Commercial Payers

Telehealth Policies for Medicare and Commercial Payers

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Moving from Dental to Medical Billing

Moving from Dental to Medical Billing

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Coding and Billing Transitional Care and Chronic Care Management Services (TCM and CCM)

Coding and Billing Transitional Care and Chronic Care Management Services (TCM and CCM)

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E/M and the Organ Systems Part 2 of 2

E/M and the Organ Systems Part 2 of 2

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E-M and the Organ Systems (Part 1)

E-M and the Organ Systems (Part 1)

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HCC Coding Tool

How to use Find-A-Code's HCC Coding Tool

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Coding and Auditing in Cardiology

Join Aimee Wilcox for a webinar on cardiovascular coding. In this webinar we'll review EKG reporting regulations, myocardial perfusion imaging, cardiac stress testing, echocardiograms, pacemaker implantation & replacement, and a few others. We'll discuss the best way to use LCDs and commercial payer policies to set coding policies for compliance in your organization.

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Success with Out-of-Network Billing in Today's Environment Part 2

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

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Success with Out-of-Network Billing in Today's Environment Part 1

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

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All About Knee Coding & Auditing

Total knee replacement now acceptable ASC procedure also, not auditing for a year. Knee replacement coding, knee joint injections, auditing using FAC, LCDs, drugs, modifiers.

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Anatomy of the Knee

Coders and billers in orthopedic practices must understand the knee extensively. Join Dee to master the anatomy of the knee joint, and understand how it applies to ICD-10-CM diagnosis coding.

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Evaluation and Management Coding and Auditing

Are you responsible for selecting or reviewing Evaluation and Management service levels? Do you wonder how well you know the rules and how to apply them? Join Aimee in this webinar to review and then applly the rules of E/M coding. She will also do a live demonstration of the new Find-A-Code E/M Calculator Tool to assess the level of E/M service for two office visits, one new (99201-99205) and the other established (99212-99215).

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Using Find-A-Codes Anatomy Images

Diagnosis coding is difficult when clinician documentation does not match up with the definitions found in the ICD-10-CM code set. Find-A-Code's anatomy images educate both coders and students - bridging the gap between coders and clinicians while simplifying code selection.

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Coding Auditing Inpatient Evaluation and Management — A Hands-On Experience

Do your providers perform and report Evaluation and Management (E/M) services in the inpatient setting? Does the documentation match with the services being billed, or does it fall short? Join Aimee for a hands-on audit of an inpatient E/M service and get an idea of the information and documentation needed to correctly code inpatient E/M services.

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FAC Updates Plus Tools for HCC Coding Chart Review February

Join Taylor to see how you can access free CEUs in 3 clicks, included with top-tier Find-A-Code subscriptions! Also highlighting our New and Improved NCDs system, and how to use the WK Drug Database for HCC Coding/Chart Review

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The Proper Way to Report Modifiers

Modifier 25 has long been a coding conundrum and an auditor's gold mine. Don't risk take-backs, penalties, or accusations of fraud and abuse. Join Aimee in this webinar on how to properly report modifier 25 and have confidence in your code reporting.

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Learn How to Optimize Your Subscription, Searching and More

Be more productive, work smarter not harder using Find-A-Code. With so much to offer, it is important to understand how to navigate our site to get the most out of your subscription.

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Surgical Coding and Auditing

Ever wonder what an auditor is looking for when they review your surgical coding? Join Aimee and review the basic rules and documentation requirements. We’ll tear apart a couple of operative reports, code them, review NCCI edits, modifiers, and more. Get an idea of how you are doing and things you may want to incorporate into your practice to be better prepared when an audit comes your way. Also, we’ll review our cool Code-A-Note tool and how it can help you locate CPT and ICD-10-CM codes quickly. This tool is great for new coders, coders new to a specialty, difficult coding situations, or anyone who just wants a second opinion on their code options.

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2018 Updates and New Tools

2018 Find-A-Code updates and new tools

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Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

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What is RBRVS and How Can It Benefit Your Organization

What is RBRVS and How Can It Benefit Your Organization

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The Importance of Gathering Organizing and Using Fee Schedules

The Importance of Gathering Organizing and Using Fee Schedules

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Using Find-A-Code's New Evaluation and Management Calculator Tool

Using Find-A-Code's New Evaluation and Management Calculator Tool

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How Can Local Coverage Determinations Ensure Reimbursement

How Can Local Coverage Determinations Ensure Reimbursement

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The Proper Application of Modifiers - Part 1

The Proper Application of Modifiers - Part 1

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The Proper Application of Modifiers - Part 2

The Proper Application of Modifiers - Part 2

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How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

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Mighty MACRA!

Mighty MACRA!

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Evaluation and Management Self Audit for Beginners, Part 4: Medical Decision Making

Evaluation and Management Self Audit for Beginners, Part 4: Medical Decision Making

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The Future of Reimbursement - Medicare's Quality Payment Program

The Future of Reimbursement - Medicare's Quality Payment Program

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Evaluation and Management Self Audit for Beginners, Part 3: Examination

Evaluation and Management Self Audit for Beginners, Part 3: Examination

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Evaluation and Management Self Audit for Beginners, Part 2: History

Evaluation and Management Self Audit for Beginners, Part 2: History

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Evaluation and Management Self Audit for Beginners, Part 1: Fundamentals

Evaluation and Management Self Audit for Beginners, Part 1: Fundamentals

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ICD-10-CM Training - Session 08

ICD-10-CM Training - Session 08

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ICD-10-CM Training - Session 07

ICD-10-CM Training - Session 07

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ICD-10-CM Training - Session 06

ICD-10-CM Training - Session 06

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ICD-10-CM Training - Session 05

ICD-10-CM Training - Session 05

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ICD-10-CM Training - Session 36

ICD-10-CM Training - Session 36

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ICD-10-CM Training - Session 35

ICD-10-CM Training - Session 35

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ICD-10-CM Training - Session 34

ICD-10-CM Training - Session 34

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ICD-10-CM Training - Session 33

ICD-10-CM Training - Session 33

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ICD-10-CM Training - Session 04

ICD-10-CM Training - Session 04

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ICD-10-CM Training - Session 31

ICD-10-CM Training - Session 31

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ICD-10-CM Training - Session 03

ICD-10-CM Training - Session 03

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ICD-10-CM Training - Session 02

ICD-10-CM Training - Session 02

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ICD-10-CM Training - Session 30

ICD-10-CM Training - Session 30

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ICD-10-CM Training - Session 29

ICD-10-CM Training - Session 29

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ICD-10-CM Training - Session 27

ICD-10-CM Training - Session 27

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ICD-10-CM Training - Session 01

ICD-10-CM Training - Session 01

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ICD-10-CM Training - Session 26

ICD-10-CM Training - Session 26

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ICD-10-CM Training - Session 25

ICD-10-CM Training - Session 25

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ICD-10-CM Training - Session 24

ICD-10-CM Training - Session 24

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ICD-10-CM Training - Session 23

ICD-10-CM Training - Session 23

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ICD-10-CM Training - Session 22

ICD-10-CM Training - Session 22

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ICD-10-CM Training - Session 21

ICD-10-CM Training - Session 21

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ICD-10-CM Training - Session 20

ICD-10-CM Training - Session 20

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ICD-10-CM Training - Session 19

ICD-10-CM Training - Session 19

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ICD-10-CM Training - Session 18

ICD-10-CM Training - Session 18

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ICD-10-CM Training - Session 17

ICD-10-CM Training - Session 17

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ICD-10-CM Training - Session 16

ICD-10-CM Training - Session 16

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ICD-10-CM Training - Session 15

ICD-10-CM Training - Session 15

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ICD-10-CM Training - Session 14

ICD-10-CM Training - Session 14

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ICD-10-CM Training - Session 13

ICD-10-CM Training - Session 13

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ICD-10-CM Training - Session 12

ICD-10-CM Training - Session 12

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ICD-10-CM Training - Session 11

ICD-10-CM Training - Session 11

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ICD-10-CM Training - Session 10

ICD-10-CM Training - Session 10

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ICD-10-CM Training - Session 09

ICD-10-CM Training - Session 09

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HIPAA Has New Requirements (New as of 2013-11-07)

HIPAA Has New Requirements ...

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Reimbursement Guides
2020 Edition

Find-A-Code's 2020 specialty specific Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it.

  • Medicare
  • Procedure & Supply codes
  • Documentation
  • Compliance
  • HCC information
  • ICD-10-CM codes


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