Life Care Planners

News and Important Information

Coding with PCS When There is No Code 

VA-UCR Prof Services Modifier Charge Factor

Newest Launch - We Now Have Outpatient Facility Pricing!

Tools and Resources for Life Care Planners

Spinal Cord Stimulator Used for Chronic Pain


CLICK HERE to view Find-A-Code's website demo for Nurse Life Care Planners

 

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

Map-A-Code

Map-A-Code

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

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

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

July 14th, 2020

Are NCCI Edits and Modifiers Just for Medicare?

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published July 14th, 2020

The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ...

July 1st, 2020

Understanding UCR Inpatient Fees used on DRGs

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published July 1st, 2020

June 15th, 2020

Outpatient Facility Pricing

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | 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 ...

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