×

FREE Find-A-Code Demonstration

All Attendees Get Free 2-Week Trial Access!

 

The Right Code - Right Now™

 

NEW! Introducing

Find‑A‑Code's new AI assistant

and

other NEW Find‑A‑Code features!

 

Register now for this free live demo Thursday, April 9 @ 1:00pm Eastern. See how Find-A-Code's workflow matches yours, putting the most important information right at your fingertips in an easy-to-use format.

 

Why Find-A-Code?

• Complete Code Sets: CPT®, ICD-10-CM, HCPCS and more
• The Easiest, Fastest, and Most Accurate NCCI Validation
• Complete NCD/LCD Policies
• NEW AI features that make you a better coder

All The Features You Need

• AHA Coding Clinic® integration
• RVUs with facility factors
• UCR fees by location
• Commercial payer policies
• Common Language Descriptions (CLDs)
• Many, many more!

FREE DEMO - Register Now

close

BC Advantage - 2019 Issue 11

VA: How UCR Charges are Determined

How does the VA determine charges billed to third party payers for Veterans with private health insurance?According to the VA. "38 C.F.R 17.101 stipulates the basic methodology by which VA bills third party insurance carriers. In order to generate a charge for medical services, VA establishes reasonable charges for five categories of charges:- Inpatient facility- Skilled nursing facility (SNF)/sub-acute inpatient facility- Outpatient facility- Physicians- Nonphysician providersReasonable charges are developed nationally and then adjusted locally by each VA medical center based on their Geographical Area Adjustment Factor (GAAF). Billing for inpatient facilities and skilled nursing...

To read the full article, sign in and subscribe to BC Advantage.

Thank you for choosing Find-A-Code, please Sign In to remove ads.