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Latest articles

And Then There Were Fees...
November 11th, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Find-A-Code offers fees and pricing for just about everything, this article will address two of some of the most common payment systems with CMS. (OPPS) -Outpatient Medicare Outpatient Prospective Payment System. (MPFS)- Medicare Physician Fee Schedule The Fees section on each code page is determined on the type of services...
Are you providing TMD treatment and having a hard time receiving payment from Medical? Take a look at the law for your state!
November 3rd, 2019 - Christine Taxin
TM TREATMENT AND THIRD PARTY INSURANCE COVERAGEMinnesota, in 1987, became the first state to adopt legislation requiring health insurance policies issued within the state to include coverage for the diagnosis and treatment of temporomandibular (TMD) joint disorders and craniomandibular (CMD) disorders on the same basis as other joint disorders. At ...
VA- Reasonable Charges Rules, Notices, & Federal Register
October 21st, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Usual, customary and reasonable charges (UCR) are medical fees used when there are no contractual pricing agreements and used by certain healthcare plans and third-party payers to generate fair healthcare pricing. Where does Find-A-Code get their data for UCR? Find-A-Code offers UCR fees gathered...
Medically Unlikely Edits (MUEs): Unlikely, But Not Always Impossible
October 18th, 2019 - Namas
Medically Unlikely Edits (MUEs) were created by the Centers for Medicare & Medicaid Services (CMS) to help lower the error rate for paid Part B claims. MUEs are the maximum units of a HCPCS or CPT code that a provider would bill under most circumstances for the same patient on ...
Why is HIPAA So Important?
October 11th, 2019 - Namas
Why is HIPAA So Important? Some may think that what they do to protect patient information may be a bit extreme. Others in specialty medical fields and research understand its importance a little more. Most of that importance lies in the information being protected. Every patient has a unique set of ...

Editors choice articles

CMS and HHS Tighten Enrollment Rules and Increase Penalties
October 1st, 2019 - Wyn Staheli, Director of Research
This ruling impacts what providers and suppliers are required to disclose to be considered eligible to participate in Medicare, Medicaid, and Children's Health Insurance Program (CHIP). The original proposed rule came out in 2016 and this final rule will go into effect on November 4, 2019. There have been known problems ...
Federal Workers Compensation Information
October 1st, 2019 - Wyn Staheli, Director of Research
When federal employees sustain work-related injuries, it does not go through state workers compensation insurance. You must be an enrolled provider to provide services or supplies. The following are some recommended links for additional information about this program. Division of Federal Employees' Compensation (DFEC) website Division of Federal Employees' Compensation (DFEC) provider ...
Help is on the way!
September 17th, 2019 - Christine Taxin
Dental carriers are starting to deny coverage for treatment considered a medical necessity! Dental offices are just charging the patient for those services or patients are refusing the treatment. Have you considered why that service should be full fee for the patient when they have coverage under their medical insurance? ...
E-Health is a Big Deal in 2020
September 16th, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
The new 2020 CPT codes are on the way! We are going to see 248 new codes, 71 deletions, and 75 revisions. Health monitoring and e-visits are getting attention; 6 new codes play a vital part in patients taking a part in their care from their own home. New patient-initiated ...
Chiropractic 2020 Codes Changes Are Here
September 9th, 2019 - Wyn Staheli, Director of Research
There are some interesting coding changes which chiropractic offices will want to know about. Are codes that you are billing changing?

Latest questions/posts

J1071 Code
1st    Nov 15th, 2019 - Alicia

Code for Escharotic treatment?
1st    Nov 12th, 2019 - Amanda_Marie

CPT 96405
   Nov 12th, 2019 - npott1 9 

Why to Adopt Packaging in 2019
1st    Nov 12th, 2019 - Max Well

Extirpation of matter from the Pulmonary Artery
   Nov 1st, 2019 - stomach1 3 

Blue cross Blue shield denies office visits/E& M visits.
   Oct 15th, 2019 - gowri.tina

Consultations
1st    Oct 15th, 2019 - MaureenK

HCPCS Code for a Strassburg Sock
   Oct 10th, 2019 - lhaas01 13 

CPT 82948
1st    Sep 18th, 2019 - NAHAR, SHAMSU

hospital codes
   Sep 17th, 2019 - nate0922 7 

CPT code 97760
   Sep 17th, 2019 - RedKat  

Both COPD and Bronchiectasis?
1st    Sep 16th, 2019 - JackKline

CPT 93925
   Aug 20th, 2019 - stomach1 3 

Code for physical activity counseling
1st    Aug 9th, 2019 - Corley

CPT 29799
   Jul 30th, 2019 - RedKat  

Physician ESRD Capitation Billing
   Jul 11th, 2019 - anitac

CPT 99441
   Jul 9th, 2019 - abbyakinleye 9 

UNNA boot application
1st    Jul 3rd, 2019 - cmarsh

CPT Code for Repositioning of endothelial keratoplasty
   Jun 12th, 2019 - yml3768 31 

CPT for Long Term Acute Care Hospital
1st    Jun 11th, 2019 - nwettach


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