Service
Code
Listed
Cash
Negotiated
Rates
Checks
App short arm splint
$155
$72
$83
2
clean
Biofeedbac Training By Any Modality
$210
$41
$38
2
clean
Speech Lanuage Treatment
$129
$77
$106
2
clean
Evaluation of speech sound producti
$240
$113
$155
2
clean
Eval of Speech sound with language
$301
$231
$317
2
clean
Behavioral and qualitative analysis
$191
$110
$152
2
clean
Oral Function Therapy
$103
$85
$117
2
clean
Pure tone Audiometry (threshold), air only
$1
$40
$56
2
clean
Pure tone Audiometry (threshold); air and bone
$45
$49
$67
2
clean
Speech Audiometry Threshold
$36
$31
$42
2
clean
Speech Audiometry Threshold, with speech Recognition
$42
$47
$65
2
clean
Comp Audiometry Threshold
$42
$37
$46
2
clean
Loudness balance test, alternative binaural or monaural
$50
$50
$68
2
clean
Tone decay test
$35
$36
$50
2
clean
Stenger test, pure tone
$20
$22
$31
2
clean
Tympanometry (impedance testing)
$20
$16
$18
2
clean
Acoustic reflex testing
$18
$15
$21
2
clean
Filtered speech test
$30
$32
$44
2
clean
Staggered spondaic word test
$40
$57
$79
2
clean
Sensorineural acuity level test
$70
$75
$103
2
clean
Synthetic sentence identification test
$40
$46
$63
2
clean
Stenger test, speech
$17
$23
$32
2
clean
Visual reinforcement audiometry (VRA)
$50
$44
$55
2
clean
Conditioning play audiometry
$80
$90
$123
2
clean
Select picture audiometry
$55
$60
$82
2
clean
Electrococohleography
$80
$109
$149
2
clean
Evoked otoacoustic limited
$25
$22
$31
2
clean
Evoked otoacoustic emissions
$40
$34
$46
2
clean
Ear protector attenuation measurements
$70
$80
$110
2
clean
Oral speech device evaluation
$80
$74
$101
2
clean
Cochlear Implt F/UP Exam 7>
$170
$148
$177
2
clean
Reprogram Cochlear Implt 7>
$100
$89
$102
2
clean
Eval prescription of speech
$140
$125
$171
2
clean
Re-evaluation
$60
$49
$68
2
clean
Speech gen device therapy train and fit
$223
$104
$143
2
clean
Swallow Eval
$118
$86
$106
2
clean
Evaluation of swallowing
$105
$93
$127
2
clean
Endoscopic Study of Swallowing
$215
$200
$158
2
clean
Endoscopy swallow tst (fees)
$45
$38
$52
2
clean
Eval Laryngoscopy Sense Test
$38
$34
$46
2
clean
Assessment of Aphasiarea
$40
$98
$134
2
clean
Cognitive perform test
$224
$103
$142
2
clean
Paraffin bath, supervise
$28
$7
$9
2
clean
Whirlpool, supervised
$36
$16
$16
3
clean
Elec stim 15 min c. att.
$59
$15
$15
3
clean
Contrast bath 15 min ca
$45
$14
$15
3
clean
Ultrasound
$31
$15
$20
2
clean
Therapeutic Exercise
$103
$30
$30
5
clean
Neuro Muscular re education
$106
$33
$33
5
clean
Aquatic therapy
$122
$38
$38
3
clean
Gait training
$90
$30
$30
3
clean
Massage
$82
$31
$31
3
clean
Therapeutic intervention initial 15 mins
$49
$22
$30
4
clean
Therapeutic intervention each addl 15 min
$47
$21
$29
4
clean
Manual Therapy Technique
$96
$28
$28
5
clean
Group Theraputic Procedures
$65
$18
$18
3
clean
PT Eval Low Complex 20 Min
$95
$101
$101
3
clean
PT Eval Mod Complex 30 min
$110
$101
$101
3
clean
PT Eval High Complex 45 Min
$125
$101
$101
3
clean
PT Re-Eval Est Plan Care
$65
$70
$70
3
clean
OT Eval Low Complex 30 Min
$98
$104
$143
2
clean
OT Eval Mod Complex 45 Min
$110
$104
$143
2
clean
OT Eval High Complex 60 Min
$125
$104
$104
3
clean
OT Re-Eval Est Plan Care
$67
$72
$72
3
clean
Therapeutic Activities
$106
$36
$62
5
clean
Sensory Integration
$60
$62
$62
3
clean
Self Care Management Training
$109
$33
$45
2
clean
Wheelchair mgmt-15 min
$100
$32
$43
4
clean
Assistive Technology Assessment
$7
$39
$53
2
clean
Orthotic mgmnt & traing
$101
$47
$65
2
clean
Orthc/prostc mgmt sbsq enc
$154
$52
$71
4
clean
Thera Procedure Strength Endurance
$8
$12
$17
2
clean
Oth Resp Procedure Individual
$9
$11
$15
2
clean
Oth Resp Procedure Group
$10
$14
$19
2
clean
Elec stim stage iii/iv w
$26
$12
$16
2
clean
Elect stim-not woundcare
$28
$13
$18
4
clean
Biofeedback, peri/uro/re
$141
$41
$38
2
clean
Bekesy Audiometry;diagnostic
$6
$37
$26
2
clean
Short increment sensitivity index (SISI)
$27
$36
$50
2
clean
Cochlear Implt F/UP Exam<7
$180
$157
$143
2
clean
Reprogram Cochlear Implt<7
$115
$99
$114
2
clean
Developmental Testing Limited
$11
$98
$30
3
clean
Developmental Testing Extended
$12
$98
$59
2
clean
Electrical stim superv
$14
$15
$19
2
clean
Team Conf w/o Patient by HC Pro 30 + mins
$20
$52
$57
4
clean
Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
29 of 81 comparable items (36%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. discounted cash price $40 exceeds gross charge $1
CPT 97530/b
error
mrf_negotiated_above_max
a negotiated rate of $69 is above the file's own maximum $62
CPT 97022/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $15
CPT 97032/b
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $15
CPT 97533/b
error
mrf_negotiated_below_min
a negotiated rate of $45 is below the file's own minimum $62
warn
mrf_negotiated_above_gross_systematic
55 of 81 comparable items (68%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $135 exceeds the gross charge $129
CPT 92552/b
info
mrf_cash_above_gross
discounted cash price $40 exceeds gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT 92553/b
info
mrf_cash_above_gross
discounted cash price $49 exceeds gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT 92556/b
info
mrf_cash_above_gross
discounted cash price $47 exceeds gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT 92561/b
info
mrf_cash_above_gross
discounted cash price $37 exceeds gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 92563/b
info
mrf_cash_above_gross
discounted cash price $36 exceeds gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT 92564/b
info
mrf_cash_above_gross
discounted cash price $36 exceeds gross charge $27 — part of a file-wide pattern, counted once at the file level
CPT 92565/b
info
mrf_cash_above_gross
discounted cash price $22 exceeds gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 92571/b
info
mrf_cash_above_gross
discounted cash price $32 exceeds gross charge $30 — part of a file-wide pattern, counted once at the file level
CPT 92572/b
info
mrf_cash_above_gross
discounted cash price $57 exceeds gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 92575/b
info
mrf_cash_above_gross
discounted cash price $75 exceeds gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 92576/b
info
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 92577/b
info
mrf_cash_above_gross
discounted cash price $23 exceeds gross charge $17 — part of a file-wide pattern, counted once at the file level
CPT 92582/b
info
mrf_cash_above_gross
discounted cash price $90 exceeds gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 92583/b
info
mrf_cash_above_gross
discounted cash price $60 exceeds gross charge $55 — part of a file-wide pattern, counted once at the file level
CPT 92584/b
info
mrf_cash_above_gross
discounted cash price $109 exceeds gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 92596/b
info
mrf_cash_above_gross
discounted cash price $80 exceeds gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 96105/b
info
mrf_cash_above_gross
discounted cash price $98 exceeds gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 96110/b
info
mrf_cash_above_gross
discounted cash price $98 exceeds gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 96111/b
info
mrf_cash_above_gross
discounted cash price $98 exceeds gross charge $12 — part of a file-wide pattern, counted once at the file level
CPT 97161/b
info
mrf_cash_above_gross
discounted cash price $101 exceeds gross charge $95 — part of a file-wide pattern, counted once at the file level
CPT 97164/b
info
mrf_cash_above_gross
discounted cash price $70 exceeds gross charge $65 — part of a file-wide pattern, counted once at the file level
CPT 97165/b
info
mrf_cash_above_gross
discounted cash price $104 exceeds gross charge $98 — part of a file-wide pattern, counted once at the file level
CPT 97168/b
info
mrf_cash_above_gross
discounted cash price $72 exceeds gross charge $67 — part of a file-wide pattern, counted once at the file level
CPT 97533/b
info
mrf_cash_above_gross
discounted cash price $62 exceeds gross charge $60 — part of a file-wide pattern, counted once at the file level
CPT 97755/b
info
mrf_cash_above_gross
discounted cash price $39 exceeds gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT 99368/b
info
mrf_cash_above_gross
discounted cash price $52 exceeds gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT G0237/b
info
mrf_cash_above_gross
discounted cash price $12 exceeds gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT G0238/b
info
mrf_cash_above_gross
discounted cash price $11 exceeds gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT G0239/b
info
mrf_cash_above_gross
discounted cash price $14 exceeds gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT 97110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 97140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 97763/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT G0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 92507/b
info
mrf_negotiated_above_gross
highest negotiated rate $135 exceeds the gross charge $129 — part of a file-wide pattern, counted once at the file level
CPT 92523/b
info
mrf_negotiated_above_gross
highest negotiated rate $404 exceeds the gross charge $301 — part of a file-wide pattern, counted once at the file level
CPT 92524/b
info
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $191 — part of a file-wide pattern, counted once at the file level
CPT 92526/b
info
mrf_negotiated_above_gross
highest negotiated rate $149 exceeds the gross charge $102 — part of a file-wide pattern, counted once at the file level
CPT 92552/b
info
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT 92553/b
info
mrf_negotiated_above_gross
highest negotiated rate $85 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT 92555/b
info
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $36 — part of a file-wide pattern, counted once at the file level
CPT 92556/b
info
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT 92557/b
info
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT 92561/b
info
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 92562/b
info
mrf_negotiated_above_gross
highest negotiated rate $87 exceeds the gross charge $50 — part of a file-wide pattern, counted once at the file level
CPT 92563/b
info
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT 92564/b
info
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $27 — part of a file-wide pattern, counted once at the file level
CPT 92565/b
info
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 92568/b
info
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $18 — part of a file-wide pattern, counted once at the file level
CPT 92571/b
info
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level
CPT 92572/b
info
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 92575/b
info
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 92576/b
info
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 92577/b
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $17 — part of a file-wide pattern, counted once at the file level
CPT 92579/b
info
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $50 — part of a file-wide pattern, counted once at the file level
CPT 92582/b
info
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 92583/b
info
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $55 — part of a file-wide pattern, counted once at the file level
CPT 92584/b
info
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 92587/b
info
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $25 — part of a file-wide pattern, counted once at the file level
CPT 92588/b
info
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 92596/b
info
mrf_negotiated_above_gross
highest negotiated rate $140 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 92597/b
info
mrf_negotiated_above_gross
highest negotiated rate $129 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 92602/b
info
mrf_negotiated_above_gross
highest negotiated rate $129 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 92603/b
info
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $170 — part of a file-wide pattern, counted once at the file level
CPT 92604/b
info
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 92607/b
info
mrf_negotiated_above_gross
highest negotiated rate $218 exceeds the gross charge $140 — part of a file-wide pattern, counted once at the file level
CPT 92608/b
info
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $60 — part of a file-wide pattern, counted once at the file level
CPT 92610/b
info
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $118 — part of a file-wide pattern, counted once at the file level
CPT 92611/b
info
mrf_negotiated_above_gross
highest negotiated rate $162 exceeds the gross charge $105 — part of a file-wide pattern, counted once at the file level
CPT 92613/b
info
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT 92615/b
info
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $38 — part of a file-wide pattern, counted once at the file level
CPT 96105/b
info
mrf_negotiated_above_gross
highest negotiated rate $171 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 96110/b
info
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 96111/b
info
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $12 — part of a file-wide pattern, counted once at the file level
CPT 97014/b
info
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level
CPT 97161/b
info
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $95 — part of a file-wide pattern, counted once at the file level
CPT 97162/b
info
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $110 — part of a file-wide pattern, counted once at the file level
CPT 97163/b
info
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $125 — part of a file-wide pattern, counted once at the file level
CPT 97164/b
info
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $65 — part of a file-wide pattern, counted once at the file level
CPT 97165/b
info
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $98 — part of a file-wide pattern, counted once at the file level
CPT 97166/b
info
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $110 — part of a file-wide pattern, counted once at the file level
CPT 97167/b
info
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $125 — part of a file-wide pattern, counted once at the file level
CPT 97168/b
info
mrf_negotiated_above_gross
highest negotiated rate $126 exceeds the gross charge $67 — part of a file-wide pattern, counted once at the file level
CPT 97533/b
info
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $60 — part of a file-wide pattern, counted once at the file level
CPT 97755/b
info
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT 99368/b
info
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT G0237/b
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT G0238/b
info
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT G0239/b
info
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level