Tools & Calculators

TOOLS & CALCULATORS

90-Day Global Period Calculator
Determine when the global period ends for a major surgical procedure.
Acronym Search
Search frequently used acronyms associated with Medicare.
ADR Icon
ADR Response Timeline
Determine the date that a requested medical record must be received.
Appeals Calculator
Determine the date that a requested appeal must be received.
Appeals Decision Tree
This tool helps clarify the steps taken in the appeal process.
Appeals Decision Tree
This tool helps clarify the steps taken in the appeal process.
CERT Denial Reason Finder
Use this tool to identify the outcome of a CERT review.
Check Provider Enrollment Application Status
Check the status of your CMS-855 Enrollment Application.
CST Icon
Claim Timely Filing Calculator
Determine the claim timely filing limit for your service.
Credit Balance Status Lookup
Find when a Credit Balance Report was last received using a PTAN and Contractor Code.
EDI Application Status Search Tool
Check status of the EDI Enrollment Application
EDI Front End Rejection Code Lookup Tool
Find EDI rejection code descriptions found on the 5010 277CA
Fee Schedule Lookup
Search for a specific fee related to a code or full fee schedule.
G0179 Frequency Calculator
Determine the date the next recertification code G0179 may be billed.
Interactive Voice Response Conversion Tools
Convert last names, PTAN, HICN, MBI and/or DCNs for easy input into the IVR.
Medicare Participating Physicians Directory (MEDPARD)
Search for participating providers within the Medicare Part B Program.
Medicare Provider Enrollment Application Fee Decision Tree Tool
Quickly determine if an application fee is required for your provider enrollment application.
Medicare Secondary Payer Calculator
Calculate an approximation of an MSP payment.
Podiatry Calculator
Determine the next eligible date a patient can receive routine foot care.
Exemption Status Icon
Prior Authorization Exemption Status Inquiry Tool
Determine the exemption status of the HOPD with the entry of the PTAN/CCN.