FPM Toolbox
Billing, Collections and Claims Processing
Download tools such as the FPM superbill to help you optimize your billing, collections, and claims processing.
Charge Capture Tool |
An Excel spreadsheet that helps a practice conduct a chart audit to determine whether it is billing and getting paid for the appropriate services. |
Download Format:
Excel
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Source Article
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Claim Correction Form |
A one-page form that can help make the process of filing corrected claims more efficient |
Download Format:
PDF
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Source Article
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FPM Superbill |
A superbill to capture the codes most common in office-based outpatient practice |
Download Format:
Excel
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Source Article
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ICD-10: HCC Coding Reference for Family Medicine |
A coding reference tool listing common diagnoses and the HCC weight for each one |
Download Format:
PDF
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Source Article
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Letter to Health Plans About Same-Day Wellness and Illness Care |
A sample letter to health plans about the inappropriate bundling of preventive medicine services and problem-oriented E/M services on the same date |
Download Format:
PDF
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Source Article
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Medicare Superbill |
A superbill to capture the CPT and HCPCS codes most commonly used in office visits with Medicare patients |
Download Format:
Excel
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Source Article
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Patient Financial Agreement |
A patient agreement outlining a practice's payment policies, including how to handle co-pays, insurance deductibles, payments plans, and overdue payments. |
Download Format:
PDF
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Source Article
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Patient Financial Hardship Application |
An application for patients facing financial hardships and seeking assistance from their doctor's office to pay their medical bills |
Download Format:
PDF
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Source Article
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Screening and Assessment Coding Reference |
Descriptions of each code and examples of standardized instruments that may be used for screening and assessment services |
Download Format:
PDF
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Source Article
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