2021 HCPCS Fee Analyzer Data File

Optum360


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CALL 1-800-464-3649, Option 1

Item #: XHPFA21
Available: Mar 2021


The HCPCS Fee Analyzer Data File 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 helps 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 2.5 billion current HCPCS charge records. Unique data to help you develop and maintain competitive fees while having defensible data during contract negotiations.
  • Customized reports with locality-specific Medicare fees. Multiple data points 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 20 years of experience in the health care profession. Her areas of expertise include CPT® and ICD-10-CM coding in multiple specialties, auditing, and education. Most recently she served as Clinical 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 (AAPC) chapter for several years and has also served as an officer.

CPT is a registered trademark of the American Medical Association.