Codapedia (TM) - The Free Encyclopedia for Medical Reimbursement
Join Our Community Here
It’s FREE!
Editor's Choice
Net Collection Ratio

The net collection ratio is calculated this way: Cash collections divided by net charges.  Net charges are the difference between gross charges and required government and third party adjustments. Use gross charges, insurance adjustments and cash collections for the same time period. Example:  Gross charges = $3,740,318;  Cash collections = $2,070,275;  Insurance Adjustments = 1,588,554 Net Collections = Gross charges-Adjustments  3,740,318-1,588,544=2,151,764. ...

Read More


CMS: Lot of errors billing psychotherapy services when E/M visit is involved

The Comprehensive Error Rate Testing (CERT) program Medicare uses to assess the accuracy of provider billing has uncovered a big source for mistakes – documentation problems when a patient is receiving psychotherapy services on the same date as an E/M encounter, according to CMS. There are really two takeaways coders and billers need to have to get these services billed correctly on a consistent basis. A big part of it will also involve proper physician documentation. First, there a...

Read More


10 top-notch tips to negotiate payer contracts

With a little hard work and patience, practices can succeed at negotiating stellar contracts with payers, Marcia Brauchler, MPH, CMPE, CPC, CPC-H, CPC-I, CPHQ of Physicians Ally, Inc. told attendees at AAPC’s 22nd annual HEALTHCON conference in Nashville, TN earlier this month.   “[Contracts] represent 100% of the revenue to the practice,” Brauchler said. “Everything comes to your practice via payer agreements. The more time you put into payer agreements, the more ...

Read More

The mission of Codapedia™ is to build a community of volunteers (Codapedists) to create the world’s best and most comprehensive resource for coding and reimbursement for physician services.  Codapedia™ will be 100% free, with costs underwritten by advertising.

 


ICD-10 Session 6 - Chapter One of the Tabular List
Nancy Maguire
New Payment Basis for Splints, Casts, and Intraocular Lenses
Codapedia Staff
Clearly separate documentation when appending modifiers -25 and -59
Lisa Eramo
ICD-10 Session 7 - Chapter Two of the Tabular List - Neoplasms
Nancy Maguire
ICD-10 Session 8 - Chapter Three
Nancy Maguire




DNA testing
by nikkig45
Tue, Sep/30/2014 04:53PM
Urine Screening BcBs
by nikkig45
Tue, Sep/30/2014 04:49PM
anesthesia billing
by antonio77
Tue, Sep/30/2014 03:41PM
re: Article 16/28 Clinic billing question
by LBAROGIANIS
Tue, Sep/30/2014 03:23PM
Article 16/28 Clinic billing question
by nschorr
Tue, Sep/30/2014 12:25PM
re: Anesthesia billing
by lkwilliams
Tue, Sep/30/2014 11:54AM

About Codapedia |  Terms of Use |  Privacy Policy |  Management |  Advertise With Us |  Report Copyright Violation    Follow Us