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Billing Coding & Calculating Fees: Finding Success

ASHA/ Billing , Coding , & CalculatingFees: Finding SuccessJanet McCartyDirector of Private Health Plan Reimbursement American Speech- Language- Hearing AssociationDirect Line: 301- 296- Billing : Learn how to bill for your services Coding : Learn the codes that describe the services you provide. Use these codes to communicate with health plans Calculating FEES: Learn how to determine fees for your servicesASHA/ Billing : Superbills Use a Superbill ( Billing , Coding , Charges) List ICD-10 and CPT codes used most often in your practice Provide patient information Assign a diagnosis (ICD-10 code) Assign a treatment (CPT code) Provide provider information Total Charges: _____ASHA/ICD-10 & CPT Codes ICD-10(International Classification of Diseases) codes describe the diagnosis: (Other symbolic dysfunction) CPT(Current Procedural Terminology) codes describe procedures performed.

• The National Correct Coding Initiative (NCCI, or more commonly, CCI) is an automated edit system to control specific Current Procedural Terminology (CPT) code pairs that can be reported on the same day. • Used for Medicare and Medicaid claims, but private payers may also use.

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  Coding, National, Correct, Initiative, Ncic, National correct coding initiative

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