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PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

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2019-April

ASC Fee Schedule

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2019-April

APC Codes

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DRG Codes

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ASP Drug Pricing Files

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CMS Transmittals



CodeMap® CodeMap® Online Access-1 Year Subscription
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Important Note: Some features are not available in the free trial.

CodeMap® ONLINE

Unparalleled online access to the following CodeMap® resources:

Medicare Reimbursement Information

  • Physician Fee Schedule Amounts
  • Laboratory Fee Schedule Amounts
  • OPPS and ASC Payments Adjusted by Zip Code
  • APC Codes
  • Status Indicators
  • Procedures Subject to Multiple Procedure Payment Reduction (MPPR)
  • All States/Localities

CodeMap Market Analysis

  • Identify which Providers / Physicians perform specific tests
  • Detailed NPI Practice Information - Medicare payments by procedure
    • Number of Services Performed by procedure code
    • Number of Beneficiaries per procedure code
    • Total payments by Medicare
  • Searchable by procedure, zip code, county 

Commonly Associated Diagnosis Codes

  • Commonly Associated Diagnosis Codes derived from CMS Q3 2016 Limited Data Set (LDS) claims data.
  • This data represents an analysis of 11,119,991 claims processed for 1,414,138 beneficiaries in the third quarter of 2016.

CodeMap Online Medical Necessity Checker 

  • Procedure to Diagnosis Code Edit Check
  • National and Local Policies and Contractor Articles for every Medicare Contractor
  • Linked to full text of LCD or NCD policy

Medicare Coverage Policy Information

  • National Coverage Decisions (NCDs)
  • Local Coverage Decisions (LCDs)
  • Local Coverage Articles (LCAs)
  • Every Medicare Contractor
    • Part A and Part B
  • Full text of every policy
    • Indications/Limitations of Coverage
    • Frequency Limits
    • Covered ICD-10 codes
  • Updated continuously by nationally recognized experts in Medicare coding and reimbursement.

Medicare Coding Edits

  • Correct Coding Initiative (CCI) edits 
  • Medically Unlikely Edits (MUE)
  • Updated Quarterly per CMS schedule

Medicare Historical Utilization Data

  • Annually updated database of Part B utilization data.
  • Actual utilization data of all Medicare covered tests and services by CPT® code.
    • Top 5 Ordering Specialties
    • Top 5 Places of Service
    • Top 5 Modifiers Submitted
    • Includes average dollar amount submitted and percentage of claims denied.

Includes 1 year subscription and access to archived library of CodeMap Compliance Briefings

This product does not include a printed manual.  

Online access begins upon receipt of payment and lasts for one year.  


 
Price each: $795.00
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