Life Care Planners

News and Important Information

Tools and Resources for Life Care Planners

Spinal Cord Stimulator Used for Chronic Pain


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Code Sets

CPT Codes

CPT codes by chapter

ICD-10-CM Codes

Diagnosis codes by chapter

HCPCS Codes

Supply/Procedure codes by chapter

Find-A-Code's Tools & Resources

APC Packager/Pricer

Catch problems and know exact payment details in advance before submitting UB-04 claims

ASA Crosswalks & Fees

Crosswalks available from CPT Anesthesia Codes to Surgery and Procedure Codes

Pro Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

UCR Fees

UCR fees for non-medicare payers and UCR data sources

DMEPOS Product Search

Search by Manufacturer, Model #, Product or HCPCS simple search and for accurate coding

WK Drug Database

Search Trade Name, Generic, NDC, Packaging, Codes, Dosages as well as Indications/Diseases associated with the medication

Abbreviations

Research Abbreviations using our comprehensive list of medical abbreviations

Lab Test Search

Research best tests for diseases (CLD rankings), test info, billing codes, etc

Commercial Payer Policies

View Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations

LCDs & NCDs

Search LCDs and NCDs for Clinical Indications and Limitations of Coverage and/or Medical Necessity

NCCI Edits Validator

Validate using NCCI edits for errors in code selection

Click-A-Dex™

Enhanced index searching

Browse-A-Code

Code selection decision tree tool

Find-A-Code Website Demo Video

View this brief demo video on Vimeo to see how you can benefit from using Find-A-Code

Guidelines and Manuals Topics Page

View CPT, Diagnostic, Medicare, and other rules and guidelines

Additional Links and Resources

NCBI PubMed Resources

Search the PUBMed to verify evidence based standards of medical necessity

Home Health PPS

Home Health Prospective Payment System

Home Health Agency (HHA) Center

Home Health Agency (HHA) Center

Home Health PPS Rate Update

Federal Register: CY 2018 Home Health PPS Rate Update

IPPS Hospital Look-Up Tool

Look-up tool by name and location

Standard Written Order (SWO)

Dates of Service on or After January 1, 2020

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

New CPT® Codes Approved for COVID-19 Antibody Identification

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On April 10, 2020, the American Medical Association approved and published a revision of code 86318 and added two new codes 86328 and 86769 for reporting Coronavirus [COVID-19] antibody testing.

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CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes

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Therapeutic shoes and inserts can play a vital role in a diabetic patient's health. Medicare may cover one pair every year and three pairs of custom inserts each calendar year if the patient qualifies and everything is handled correctly.  Medicare Benefit Policy Manual explains what is needed for a person with diabetes to ...

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Who Qualifies for Chronic Care Management Services

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Per MLN Chronic Care Management Services, the following patients are eligible: "Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, are eligible for CCM services." Examples of chronic conditions ...

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CMS- Patient Driven Payment Model Effective October 01, 2019

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According to CMS, In July 2018, CMS finalized a new case-mix classification model, the Patient-Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Using the new Patient-Driven ...

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Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

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Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ...

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Medical ID Theft

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Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

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The OIG Work Plan: What Is It and Why Should I Care?

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The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

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The Facts of Critical Care

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Critical care services remain to not only be an area of confusion for providers, coders, and auditors, but also a constant target for the carriers for audit. We can sit back and look at critical care and think of all of the ways the code descriptor and/or use could be ...

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5 Ways to Minimize HIPAA Liabilities

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Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

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How to Properly Report Monitoring Patients Taking Blood-thinning Medications

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Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services.

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Spinal Cord Stimulator Used for Chronic Pain

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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 ...

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Pain Codes in ICD-10-CM

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When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

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


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

How to PREVENT and HEAL Dental Problems so You Can Enjoy a Healthy Body and Life

In this webinar Dr. Jorgensen will share with you the REAL causes of dental disease and techniques for prevention and healing. You will also learn about dental problems that may be making you or your patients SICK, how to identify them, and what can be done to help them get better. Finally, she will tell you about cutting edge dental and health practices you need to know about to improve your patient's health, and how to find a dentist that can provide this care. Don't miss this life-changing webinar!

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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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How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

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