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Locality ZIP Defaults to national average if not entered ZIP not found

Add CPT Codes

Bundle Interactions

Medicare Rate Pro Forma

· · ·

ZIP Nat'l avg ZIP not found

Volume

Providers

Step 1 — Provider Configuration

Set your provider mix before adding procedures. NPP rates are 85% of Medicare (standalone billing) or 100% (incident-to under MD supervision).

Number of providers

Blended effective rate:

⚠ Percentages must total 100% (currently %)

✓ Ready

Locality ZIP Defaults to national average if not entered ZIP not found

Format CPT, Payer, Rate

CPT Code

Insurance / Payer

Your Rate ($)

Global Period Tracker

Enter surgery date + CPT codes to see what's included in the global package vs. separately billable.

Date of Surgery

Medical Necessity & Policy Intelligence

Documentation checklists · Payer policy links

Specialty

Type

Tag search:

CPT	Description	Nat'l Rate	Work RVU	Global	MUE

Surgical Rules Multiple Proc Bilateral Asst. Surgery Co-Surgery Team Surgery MUE Quick Bundle Check Does bundle with:

CPT	Description	Medicare			Mcare / Yr	Comm / Yr	Blended / Yr