2020 HCPCS Fee Analyzer Data File

Optum360 | 2020 | Nichole VanHorn; Kristin Bentley



CALL 1(800)464-3649, Option 1
List Price

Item #: XHPFA20
Available: CALL 1(800)464-3649, Option 1


HCPCS Fee Analyzer is a customized report that includes four percentiles of national charge data as well as locality-specific Medicare allowables for HCPCS codes. Revise your current fee schedule, negotiate a contract or conduct competitive analysis. This resource will help you set fees, evaluate payer reimbursements and negotiate with suppliers by referencing five data points compiled in one easy-to-use report.
  • Four reference points of charge data (25th, 50th, 75th, 85th percentiles). Perform competitive analyses with confidence and make more accurate adjustments of charges.
  • Real-life charge data from the FAIR Health Database of more than one billion current HCPCS charge records. Develop and maintain competitive fees while having defensible data during contract negotiations.
  • Customized reports with carrier-specific Medicare fees. Access another data point for complete fee and reimbursement analysis.
  • Printed book or data file. Choose from two format options.

Nichole VanHorn, CPC, CCS-P

Ms. VanHorn has more than 15 years of experience in the health care profession. Her areas of expertise include CPT© and ICD-9-CM coding in multiple specialties, auditing, and education. Most recently she served as Clinical Auditor for the Children’s Hospital Physicians at Blank Children’s Hospital, Des Moines, Iowa where she functioned as an auditor for a multi-specialty group. Ms. VanHorn was responsible for the oversight of the physician coding and education section of the Corporate Compliance Program. She has been an active member of her local American Academy of Professional Coders chapter for several years and served as an officer.

Kristin Bentley, CPC

Ms. Bentley has 10 years of experience in the health care profession. She has an extensive background in professional component coding, with expertise in radiation therapy, chemotherapy, radiology, and ambulatory surgery procedure coding. She has conducted chart-to-claim audits and physician education. Ms. Bentley has functioned as a billing specialist and has extensive denial management experience. She is an active member of the American Academy of Professional Coders.