Rev Code Reimbursement

R

100

This is a healthcare code used to classify the services provided and helps determine reimbursement amounts

Revenue Code

200

This standardized form is commonly used by hospitals to bill for services and includes Revenue Codes

 UB-04 form

300

The ultimate guide to accurate facility claim submissions 

 Uniform Billing Editor / UBE

400

This is a third party vendor you can leverage to find Revenue Code, CPT/HCPCS, Pricing & etc. 

Trisus/Craneware

500

Published on a bi-weekly basis to ensure that users have the most up to date information on available EAP, Revenue Code, rates and etc.

Chargemaster (CDM)

E

100

What is the alternate code for CPT Code 99214?

G0463

200

Which Revenue Code is used to report charges for emergency room services?

Revenue Code 0450

300

Medicare accepts Revenue Code 0510 for CPT code 99214 but which Revenue Code does BCBS accept for urgent care?

Revenue Code 0456

400

What is the Revenue Code for CPT Code 96450 (chemotherapy)?

RC 0331

500

What is the Alternate Revenue Code for CPT Code 93320?

Revenue Code 0481

V

100

What does APC stand for?

Ambulatory Payment Classifications

200

What are some reimbursement methodologies?

Case rate, Fee Schedule, Percent of Charge etc

300

Medicare and Cigna are what two types of payor groups?

Governmental and Commercial 

400

What are some account classes?

Outpatient, Inpatient, Emergency, Surgery Admit, Recurring Series, OP surgery, Observation

500

What does S/P stand for? And can it be soft coded?

Special Procedure. Yes, soft coded by HIM.