- What is medical reimbursement? - AAPC
What is medical reimbursement? Reimbursement for procedures and services performed by providers is made by commercial payers such as Aetna, United Healthcare, or federal intermediaries acting on behalf of healthcare programs Reimbursement is based on claims and documentation filed by providers using medical diagnosis and procedure codes
- 2025 CMS Final Rule - AAPC
he 2025 Medicare Physician Fee Schedule (PFS) Final Rule introduces significant changes that will impact reimbursement and compliance requirements
- RVU Calculator - AAPC Relative Value Units
CPT® RVU calculator provides a quick analysis of the work relative value units associated with a certain volume of CPT or HCPCS codes
- IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY
This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms (CMS 1450) Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy This information is intended to serve only as a general resource regarding
- Getting Reimbursed for Applying Casts and Splints - AAPC
The strapping codes are rarely used in cases such as a finger sprain, says Dari Bonner, CPC, CPC-H, CCS-P, the president of Xact Coding Reimbursement and a corporate compliance coding reimbursement specialist for a large health system in Florida Bonner says, Physicians usually will bill the evaluation and management (E M), CPT 99201 - 99220
- Bill G2211 With Confidence (and Modifier 25) - AAPC
Medicaid and commercial payers are not required to pay for services associated with G2211 To ensure proper reimbursement, you will need to regularly review your payer contracts and fee schedules to understand which payers allow reimbursement
- What is Medical Coding? - AAPC
Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc Medical coding professionals help ensure the codes are applied correctly during the
- CPT Code Lookup, CPT® Codes and Search - Codify by AAPC
Use Codify for fast CPT code lookup and search Access CPT codes and get help in describing exactly what service a healthcare provider has performed
|