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Understanding Revenue Codes

Revenue codes
Navigating the complex landscape of insurance plans, billing, and reimbursement can be a time-consuming challenge for healthcare providers. That's why we're here to equip you with the knowledge and tools you need to optimize your practice's financial health.

As a physician, you play a crucial role in delivering quality healthcare to your patients. To ensure you can focus on what you do best, we offer a comprehensive platform that provides invaluable insights into insurance procedures, coding and billing guidelines, and strategies to streamline the reimbursement process. Our mission is to empower you with the knowledge and resources necessary to maximize revenue, minimize administrative burdens, and improve patient care.
Quick links

Reimbursement resources

OPPS Toolkit

Medicare Targeted Probe and Educate

 
Reimbursement resources 

SCCT's reimbursement resources provide the essential guidance and tools for healthcare providers to navigate the complex world of medical billing, coding, and reimbursement, ensuring they receive fair compensation for their services.

 

 

OPPS Toolkit

The OPPS toolkit is a resource designed to assist healthcare organizations and professionals in understanding and implementing the Outpatient Prospective Payment System, facilitating accurate billing and reimbursement under Medicare for outpatient services.

 

 

Medicare Targeted Probe and Educate

Medicare Administrative Contractors (MACs) have created webinars, YouTube videos and other informational resources to communicate about the Centers for Medicare and Medicaid Services (CMS) Targeted Probe and Educate initiative. This initiative is aimed to strengthen Medicare's review of claims and medical record documentation.

Some SCCT members have had experience with being selected for this review. SCCT encourages all providers to take time to view these important materials. Below are links to the Medicare Administrative Contractor websites with important information on the Targeted Probe and Educate initiative. Please note that some of these sites require you to log in to view content.