CodeMap® 




2018 ICD-10 Diagnosis Code Set Loaded     


10/01/2017 NCD Edits Loaded     


2017-D October DME Fee Schedule     


2017-A PEN Fee Schedule-no changes for rest of 2017     


2017-D October ASC Fee Schedule Updated     


2017-D October APC Fee Schedule Updated     


October 2017 ASP Drug Pricing Updated     


Q4 2017 CCI Edits Loaded     


Q4 2017 MUE Edits Loaded     


LCD Database Current Through 11/13/2017     

1901 North Roselle Road
Suite 640
Schaumburg, IL 60195
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


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Laboratory Fee Schedule

2018 Preliminary PAMA
2017
2016

Physician Fee Schedule

2017
2016

OPPS Fee Schedule

2017
2016

ASC Fee Schedule

2017
2016

APC Codes

2017
2016

DRG Codes

2017

ASP Drug Pricing Files




Fall 2017 Webinar Series Announcement-Click here for details

ALERT: Preliminary 2018 PAMA Rates Posted by CMS-Click here for details


CodeMap® Compliance Audits

Compliance Audits

Effective compliance programs demand an initial compliance audit, as well as ongoing monitoring of operations and compliance activities. Since 1997, when the OIG first published compliance guidance for laboratories, our analysts have performed initial compliance audits for laboratories and radiology practices of all sizes and across the country. Many of our clients also choose CodeMap® to perform annual audits, as required by OIG guidance.

We understand not only how the rules and regulations apply to providers, but also how laboratories and radiology practices operate. This combination of expertise allows CodeMap® to perform effective and useful compliance audits.

Our comprehensive compliance audits will assess your organization's compliance with the following: 

  • Anti-kickback provisions;
  • Stark II self-referral prohibitions;
  • CPT®/HCPCS coding rules and policies;
  • Medicare billing rules and policies;
  • ICD-9 coding rules and policies;
  • Claims development and submission rules and policies;
  • Medicare and Medicaid reimbursement rules and policies;
  • Privacy Regulations of HIPAA;
  • Reporting and record keeping rules and policies; and
  • Any other rules and regulations governing participation in the Medicare and/or Medicaid programs.

Our compliance audits typically include: 

  • Interviews with personnel involved in management, operations, billing, compliance, sales, and marketing;
  • An analysis of all operations that affect how tests are ordered, performed, coded, and billed.
  • An examination of all business relationships and alliances with other providers and suppliers;
  • A review of all coding and pricing; and
  • A written report describing all findings and recommended changes.     

Call Gregory Root, Esq. at 847-381-5465 for more information.


CodeMap® is a Registered Trademark of Wheaton Partners, LLC.