In this activity, you will get some practice with this tool by searching for specific procedure codes for evaluation and management codes (office visits) for codes 99201 99215 This activity will involve setting up an Excel spreadsheet and plotting the different reimbursements for specific CPT codes based on a specific locality, and for all modifiers Use the Excel workbook you downloaded in Module 1 titled HSC NUR414 Finance Workbook Open the tab M6 1 Prevailing Rate Go to the CMS Physician Fee Schedule look upLinks to an external site Scroll down the page to the link, click on start search You must agree to the disclaimer before continuing, click accept If you do not accept, you will be exited from the web page In the search criteria, enter the following values Select a Year 2013 Type of information Pricing information Select Healthcare Common Procedure Coding System (HCPCS) Criteria Range of HCPCS Codes Select Carrier Medicare Administrative Contractor (MAC) Option (will complete after range of codes) Pricing by Range of HCPCS Codes for a Carrier MAC Locality Enter value HCPCS Codes From 99201 HCPCS Codes To 99215 Modifier All modifiers (since not a technical or other component), Carrier MAC Locality 1230201 Baltimore and surrounding counties, MD (Home of the Center for Medicare and Medicare Services) Input the data shown from the search on the website into the M6 5 spreadsheet in the Excel Workbook downloaded from Module 1 When you have completed all calculations, you are ready to submit your assignment CPT HCPCS SHORT DESCRIPTION PROC STAT CARRIER LOCALITY NON FACILITY PRICE FACILITY PRICE CONV FACTOR OPPS NON FACILITY PAYMENT AMOUNT OPPS FACILITY PAYMENT AMOUNT 99201 Office Outpatient Visit new patient A 1230201 99202 Office Outpatient Visit new patient A 1230201 99203 Office Outpatient Visit new patient A 1230201 99204 Office Outpatient Visit new patient A 1230201 99205 Office Outpatient Visit new patient A 1230201 99211 Office Outpatient Visit Established Patient A 1230201 99212 Office Outpatient Visit Established Patient A 1230201 99213 Office Outpatient Visit Established Patient A 1230201 99214 Office Outpatient Visit Established Patient A 1230201 99215 Office Outpatient Visit Established Patient A 1230201

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In this activity, you will get some practice with this tool by searching for specific procedure codes for evaluation and management codes (office visits) for

In this activity, you will get some practice with this tool by searching for specific procedure codes for evaluation and management codes (office visits) for codes 99201-99215. This activity will involve setting up an Excel spreadsheet and plotting the different reimbursements for specific CPT codes based on a specific locality, and for all modifiers.

Use the Excel workbook you downloaded in Module 1 titled: HSC/NUR414 Finance Workbook
Open the tab M6-1 Prevailing Rate.
Go to the CMS Physician Fee Schedule look-upLinks to an external site.. Scroll down the page to the link, click on start search.
You must agree to the disclaimer before continuing, click accept. If you do not accept, you will be exited from the web page.
In the search criteria, enter the following values:
Select a Year -2013
Type of information: - Pricing information
Select Healthcare Common Procedure Coding System (HCPCS) Criteria: - Range of HCPCS Codes
Select Carrier/Medicare Administrative Contractor (MAC) Option: - (will complete after range of codes)
Pricing by Range of HCPCS Codes for a Carrier/MAC Locality: Enter value; HCPCS Codes From: 99201 HCPCS Codes To: 99215
Modifier All modifiers (since not a technical or other component),
Carrier/MAC Locality: - 1230201 Baltimore and surrounding counties, MD (Home of the Center for Medicare and Medicare Services)
Input the data shown from the search on the website into the M6.5 spreadsheet in the Excel Workbook downloaded from Module 1.
When you have completed all calculations, you are ready to submit your assignment.

CPT/HCPCS	SHORT DESCRIPTION	PROC STAT	CARRIER LOCALITY	NON FACILITY PRICE	FACILITY PRICE	CONV FACTOR	OPPS NON FACILITY PAYMENT AMOUNT	OPPS FACILITY PAYMENT AMOUNT
99201	Office/ Outpatient Visit new patient	A	1230201
99202	Office/ Outpatient Visit new patient	A	1230201
99203	Office/ Outpatient Visit new patient	A	1230201
99204	Office/ Outpatient Visit new patient	A	1230201
99205	Office/ Outpatient Visit new patient	A	1230201
99211	Office/Outpatient Visit Established Patient	A	1230201
99212	Office/Outpatient Visit Established Patient	A	1230201
99213	Office/Outpatient Visit Established Patient	A	1230201
99214	Office/Outpatient Visit Established Patient	A	1230201
99215	Office/Outpatient Visit Established Patient	A	1230201