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Errors Billing Outpatient Services When Patient is also Inpatient

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ICD-10-PCS Procedure Codes Search

Find-A-Code's Tools & Resources

MS-DRG Grouper

Quickly find a DRG based on ICD-10-CM Diagnosis codes and ICD-10-PCS Procedure Codes

DRG Grouper Tutorial

DRG Grouper Tutorial

Facility NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

Type of Bill

Type of Bill Facility Codes

Other Code Sets UB-04

Other Code Sets UB-04

Revenue Codes

UB-04 Revenue Codes

Additional Links and Resources

Guidelines & Manuals

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ICD-10-PCS Guidelines

Official ICD-10-CM Guidelines for Coding and Reporting

Claim Form Instructions

Instructions for the UB04/CMS1450 02/12 Claim Form

PUB 100 - Medicare IOMs

PUB 100 - Medicare Internet-Only Manuals (IOMs)

Medicare Claim Review

Medicare Claim Review Programs

MLN Booklet: Medicare Billing

Medicare Billing: Form CMS-1450 and the 837 Institutional

Newsletters

Newsletters and Articles

2020 ICD-10 PCS Codes

These 2020 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2019 through September 30, 2020.

Hospital Outpatient Regulations and Notices

Hospital Outpatient Regulations and Notices

Long-Term Care Hospital PPS

Long-Term Care Hospital Prospective Payment System

General Billing Requirements

Ch. 1 Medicare Claims Processing Manual

Inpatient Hospital Billing

Ch. 3 Medicare Claim Processing Manual

Part B Hospital Billing

Ch. 4 Medicare Claims Processing Manual

Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims

Ch. 8 Medicare Claims Processing Manual

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Critical Access Hospitals

Critical Access Hospitals Fees, Designations, Etc.

HCUP Inpatient Payer Data

HCUP - Healthcare Cost and Utilization Project

Revenue Code Requirements

Requirements for Outpatient Claims

Noridian: Quick Reference Billing Guide

Noridian: Quick Reference Billing Guide

Case Mix Calculation Example

CMI – Case Mix index

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

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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Coding with PCS When There is No Code

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ICD-10-PCS covers ALMOST everything! But not quite! What if a body system does not contain a body part for toes or fingers? What about an elbow? When it does not cover what you are looking for, where do you turn?  To the guidelines, of course! There are ICD-10-PCS guidelines just as ...

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Understanding UCR Inpatient Fees used on DRGs

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So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?

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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 ...

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Type of Bill Code Structure (2018-08-30)

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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 ...

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

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.

Watch the video →


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Do You Have All the Right Dental Resources Needed to Succeed in Dental Medical Billing and Coding?

Discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success). Some of the resources and tools they discuss will help you with your dental coding/billing and education.

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