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  2. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    Level III codes, also called local codes, were developed by state Medicaid agencies, Medicare contractors, and private insurers for use in specific programs and jurisdictions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting medical transactions.

  3. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...

  4. HCPCS Level 2 - Wikipedia

    en.wikipedia.org/wiki/HCPCS_Level_2

    Level II codes are composed of a single letter in the range A to V, followed by 4 digits. Level II codes are maintained by the US Centers for Medicare and Medicaid Services (CMS). There is some overlap between HCPCS codes and National Drug Code (NDC) codes, with a subset of NDC codes also in HCPCS, and vice versa. The CMS maintains a crosswalk ...

  5. What is the Medicare Inpatient Only (IPO) list?

    www.aol.com/lifestyle/medicare-inpatient-only...

    The IPO list details the Healthcare Common Procedure Coding System (HCPCS) codes for the procedures that Medicare will only cover on an inpatient basis. Medicare Part A covers inpatient treatments.

  6. ICD-10 Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/ICD-10_Procedure_Coding_System

    The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.

  7. Healthcare Cost and Utilization Project - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Cost_and...

    This topic includes statistics from up to 44 States on the number of hospital discharges by payer group. National Hospital Utilization and Costs. This topic focuses on national statistics on inpatient stays: Trends, Most Common Diagnoses, and Most Common Operations. State Trends in Emergency Department Visits by Payer. These ED statistics are a ...

  8. What to know when Medicare becomes a secondary payer - AOL

    www.aol.com/lifestyle/know-medicare-becomes...

    When Medicare is a secondary payer, the primary insurer needs to report the claim status to Medicare for their consideration. If the primary payer does not pay claims within roughly 120 days, the ...

  9. Ambulatory Payment Classification - Wikipedia

    en.wikipedia.org/wiki/Ambulatory_Payment...

    APCs or Ambulatory Payment Classifications are the United States government's method of paying for facility outpatient services for the Medicare (United States) program. A part of the Federal Balanced Budget Act of 1997 made the Centers for Medicare and Medicaid Services create a new Medicare "Outpatient Prospective Payment System" (OPPS) for hospital outpatient services -analogous to the ...