Instructions for Setting Preferences Click an image below to view more information... |
How to Access Preferences |
ALL PREFERENCES can be found and changed by: clicking the OPTIONS link from the Flash Code Banner, then clicking the "Update Preferences" link to view the Preference page Individual FEE preferences can be viewed and changed by clicking the dollar value next to any code. The appropriate value lists for that code will be displayed in the Fee Detail view. |
FEE Preferences: Medicare Physician Fee Schedule (RBRVS) For more information on where to find the fees, click the Topic button for FEE Tables |
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The Medicare Physician Fee Schedule (MPFS) is based on the Resource Based Relative Value System (RBRVS) which contains 113 Practice Locations. With four fixed and two user defined settings, it represents the most complex of the fee tables. Please view the image for additional details regarding these settings. You can customize the fee by changing the Conversion Factor, adding or subtracting a percentage amount to the base fee, or both. NOTE: The NCCI edits are National, so there is no preference setting for them. However - the Medicare fee schedule is used to determine which code should be dropped in cases where unbundling has occurred. |
FEE Preferences: Durable Medical Equipment |
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Durable Medical Equipment Fees are state specific and also include fees for: Prosthetics, Orthotics, and Supplies Parenteral and Enteral Nutrition supplies You can customize the fee by adding or subtracting a percentage amount to the base fee. |
FEE Preferences: Laboratory |
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Clinical Laboratory Fees are state specific, with a few states having a split. If your state contains a split, the value list will show the state and carrier or locality number in order to pick the correct one for your Practice Location. You can customize the fee by adding or subtracting a percentage amount to the base fee. |
FEE Preferences: Medicare Part B Drug |
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Medicare Part B Drug fees are based on the Average Wholesale Pricing and are updated quarterly. This is a national fee schedule, so there is no geographic setting. You can customize the fee by adding or subtracting a percentage amount to the base fee. |
Local Coverage Determinations (medical necessity edits) For more information on LCD edits, see the main topic for Medical Necessity Codes |
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| Local Coverage Determinations contain ICD to CPT/HCPCS code pairs that justify medical necessity. The preference setting is based on the carrier number that covers your region. |
Code Changes Filter |
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| Flash Code data files track of new, revised, and deleted codes back to 1995. This filter allows you to determine how far back in time you wish to view code changes when performing a search or navigating to codes. The default setting is for 3+ years. (the past three full years, plus the current year) In addition to setting any year as the default, you can also select "Never" an option in order to not display any code changes. |
