Billing Rates that vary by Region

Day-to-Day Users
1

rkahn wrote on Wednesday, April 30, 2014:

Medicare rates vary by the region in which the treating facility location is located. For example a patient seen for an office visit (CPT code 99213) in the borough of Manhattan NYC is billed a different rate than if seen for the same office visit (CPT code 99213) in the Bronx, NYC. How does one configure rates by carrier, by region?

2

fsgl wrote on Wednesday, April 30, 2014:

  1. Determine who is the Medicare carrier, for NY it’s NGS.

  2. Choose jurisdiction, see attachment 1.

  3. Choose area, Manhattan=01, Bronx=02; see attachment 2.

  4. Choose entire Fee Schedule or individual CPT code lookup and enter filters. See attachment 3.