Medical Coding, Billing and Compliance Documents and Publications

Documents

We scour the web for various documents, little tools, articles, anything that might be useful for coding, billing and compliance workers, and if possible, we'll post them here for quick access.

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Document Title	Hits
CMS Recovery Audit Program Updates Created: 29 Nov 2011	140
2011 Medicare Advantage (Part C) Improper Payment Error Rate Created: 15 Nov 2011	152
2011 Medicaid Improper Payment Error Rate Created: 15 Nov 2011	161
2011 Original Medicare Improper Payment Error Rate Created: 15 Nov 2011	224
2011 Medicare Part D Improper Payment Error Rate Created: 15 Nov 2011	131
New York Hospitals: Hospital Inpatient DRGs, SIWs, Trimpoints, ALOS Created: 14 Nov 2011	223
Medicare Premiums And Deductibles For 2012 Created: 27 Oct 2011	120
OIG Work Plan 2012 Created: 20 Oct 2011	243
FY2012 IPPS Final Rule Published Created: 14 Oct 2011	195
Interactive Map with Medicaid Fraud Control Units' Statistical Data for FY 2010 Created: 13 Oct 2011	126
ICD9 Rehab Codes Added to the CC List for FY2012 Created: 10 Oct 2011	138
Electronic Submission of Medical Documentation (esMD) Created: 15 Sep 2011	125
RAC Statement of Work (SOW, updated 9/01/2011) Created: 13 Sep 2011	394
RAC Point of Contact Created: 24 Aug 2011	181
Testimony of Daniel Levinson, July 28, 2011 Created: 09 Aug 2011	216
Corporate Integrity Agreements Created: 09 Aug 2011	347
RAC Program Results (June, 2011) Created: 19 Jul 2011	224
Guidance on Hospital Inpatient Admission Decisions Created: 08 Jul 2011	222
CMS Transmittals Index, 2004 - May 2011 Created: 21 Jun 2011	210
Modifier -33 Article Created: 21 Jun 2011	280
July 2011 Update of the Hospital OPPS - MLN Article, May, 2011 Created: 27 May 2011	176
July 2011 Update IPF PPS Rate Year 2012 Created: 20 May 2011	236
EHR Attestation Resources from CMS Created: 17 May 2011	288
Medicare Savings Report Created: 12 May 2011	247
Medicare Shared Savings Program Created: 31 Mar 2011	279
Medicare Payment Advisory Commission Report to Congress March, 2011 Created: 17 Mar 2011	355
New Tools for Curbing Waste and Fraud in Medicare and Medicaid Created: 12 Mar 2011	323
CMS Transmittal 796: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services Created: 03 Mar 2011	469
State Medicaid RACs Created: 28 Feb 2011	499
Expansion of Inpatient Prospective Payment System Transfer Policy to Include Critical Access Hospitals (CAHs) and Non-Participating Hospitals Created: 23 Feb 2011	398
Auto Denial of Claims Submitted With a GZ Modifier Created: 04 Feb 2011	223
MLN Matters Articles Index, FY2004 - May 2011 Created: 31 Jan 2011	545
Healthcare Fraud and Abuse Control Program 2010 Annual Report Created: 25 Jan 2011	387
Compendium of Unimplemented OIG Recommendations Created: 24 Jan 2011	402
Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPSs) Created: 06 Jan 2011	250
State Medicaid Agencies Provider Directory Created: 04 Jan 2011	455
AHA RACTrac Reports Created: 13 Dec 2010	440
CMS Transmittal 361: Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews Created: 13 Dec 2010	503
AHA Claim Level Tracking Tool Created: 13 Dec 2010	474
CMS Inpatient Only List CY2012 Created: 09 Dec 2010	68
CMS Inpatient Only List CY2011 Created: 09 Dec 2010	3970
FY2011 OPPS Final Rule Published Created: 09 Dec 2010	875
OIG Physician Roadmap Created: 22 Nov 2010	552
OIG Exclusions Program Resources Created: 12 Nov 2010	490
OIG-OAS Reports Archive: FY2010, 2009 Audit Reports on CMS Created: 11 Nov 2010	823
FTC Red Flags Rule, The Movie Created: 10 Nov 2010	704
FTC Red Flags Rule: Resources and Information Created: 10 Nov 2010	479
2011 PAYMENT CHANGES FOR MEDICARE HOME HEALTH SERVICES Created: 03 Nov 2010	464
2011 HOSPITAL OUTPATIENT, AMBULATORY SURGICAL CENTER RATES Created: 03 Nov 2010	476
GlaxoSmithKline to Plead Guilty & Pay $750 Million Created: 02 Nov 2010	445
CMS Voluntary Self-Referral Disclosure Protocol Created: 01 Nov 2010	453
Reporting Hospital Quality Data for FY2011 Created: 31 Oct 2010	468
Corporate Integrity Agreement between OIG and The Christ Hospital in Cinncinnati, Ohio Created: 30 Oct 2010	517
CMS Use of Medicare Fee-for-Service Error Rate Data To Identify and Focus on Error-Prone Providers Created: 29 Oct 2010	447
October 5 2011 Accountable Care Organizations Workshop Created: 28 Oct 2010	514
OIG Work Plan 2011 Created: 27 Oct 2010	573
Why AKI was demoted to CC status by CMS Created: 15 Sep 2010	813
FY2011 IPPS Final Rule Published Created: 09 Sep 2010	553
Skilled Healthcare Group Class Action Lawsuit - Resources Created: 31 Aug 2010	928
CMS Report: Affordable Care Act Update: Implementing Medicare Cost Savings Created: 03 Aug 2010	1103
CMS Final Rule: Hospital IPPS for Acute Care Hospitals, LTCH PPPS Changes, FY2011 Rates Created: 31 Jul 2010	1000
Improper Payments Elimination and Recovery Act of 2010 - Resources Created: 21 Jul 2010	775
WellCare Health Plan Whistleblower FCA Case - Resources Created: 19 Jul 2010	1235
CMS Press Release: Hospitalcompare.gov Created: 17 Jul 2010	1111
Meaningful Use of EHR - Resources Created: 15 Jul 2010	680
Modifier -59 Article Created: 23 May 2010	223
Clinical Review Judgement - Resources Created: 23 May 2010	1227
Report on Fraud Prevention by HHS/DOJ Created: 14 May 2010	812
The Affordable Care Act - Resources Created: 14 May 2010	814
CMS Inpatient Only List CY2010 Created: 13 May 2010	4107
HHS Live Video Feed Created: 12 May 2010	1211
Effective Compliance Program defined by Federal Sentencing Commission Created: 10 May 2010	1164
Summary Judgement: U.S. v. Sulzbach, S.D. Fla., April 16, 2010 Created: 10 May 2010	1019
Patient Protection and Affordable Care Act Created: 05 Apr 2010	987
Health Care and Education Reconciliation Act of 2010 Created: 05 Apr 2010	1136
CMS Medicare Financial Management Manual Created: 04 Apr 2010	1265
Medicare Appeals Council Decisions: Part B Payable in Part A Denial Created: 04 Apr 2010	1682
Recovery Audit Contractors' Fraud Referrals (OEI-03-09-00130; 02/10) Created: 23 Mar 2010	1048
Reducing and Recapturing Improper Payments: Executive Order, Memorandum, Press Releases Created: 14 Mar 2010	2167
Additional Documentation Request Letter (ADR) Example Created: 03 Mar 2010	2155
CMS Information Related to HIT Created: 03 Mar 2010	905
CMS Press Releases for FY2010 Policies Created: 03 Mar 2010	876
Modification to Accommodate the Acute Care Episode (ACE) Demonstration Created: 02 Mar 2010	877
CMS FAQs on Observation, Condition Code 44 Created: 24 Feb 2010	4436
MUE Frequently Asked Questions at CMS Created: 15 Feb 2010	1405
Additional Documentation Limits for FY 2010 Created: 01 Feb 2010	1215
Statistical Analysis of RAC Approved DRG Validation Issues Created: 24 Jan 2010	1296
CMS Final Rule: Changes to the Hospital Outpatient Prospective Payment System and CY 2010 Payment Rates; Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates Created: 18 Nov 2009	1086
CMS Fact Sheet: Final 2010 Policy, Payment Changes for OPPS and ASCs Created: 18 Nov 2009	1111
Physician Services Payment & Policy Changes in 2010 Created: 18 Nov 2009	420
Proposed Rule: Medicare and Medicaid Programs EHR Incentive Program Created: 18 Nov 2009	1187
CMS Fact Sheet: New Standards Used for 2009 Improper Payments Report Created: 18 Nov 2009	1601
CMS Press Release: New Calculation of Improper Medicare Payments for 2009 Created: 18 Nov 2009	1489
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule Created: 11 Nov 2009	1294
CMS Inpatient Only List CY2009 Created: 20 Oct 2009	2546
Part B Services That May Be Payable If Part A Claim Denied Created: 19 Oct 2009	1410
OIG Work Plan FY2010 Created: 07 Oct 2009	1550
CMS Final Rule: Limitation on Recoupment of Overpayments (09/16/2009) Created: 30 Sep 2009	1630
Largest Fraud Settlement in History: DOJ vs. Pfizer Created: 29 Sep 2009	1289
Health IT under ARRA with FAQs Created: 08 Sep 2009	1271
CMS Info Related to ARRA Created: 08 Sep 2009	634
GAO Report on Medicare Physician Payments - GAO-09-647 Created: 04 Sep 2009	1078
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies Created: 28 Aug 2009	3100
RAC New Issue Pages Created: 26 Aug 2009	12098
CMS Low Income Health Access Open Door Forum Created: 24 Aug 2009	1415
Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services Created: 24 Aug 2009	1257
FTC Final Breach Notification Rule Created: 24 Aug 2009	1060
FTC Final Breach Notification Form Created: 24 Aug 2009	1114
Breach Notification for Unsecured Protected Health Information Created: 24 Aug 2009	1237
Approved RAC Audit Issues: August 4, 2009 Created: 04 Aug 2009	2222
CMS FY 2009 IPPS Final Rule Home Page Created: 17 Jul 2009	1208
CMS RAC Review Phase-in Schedule & Strategy Created: 25 Jun 2009	2655
NCCI Resources Created: 05 Jun 2009	2801
Senate Finance Committee: Three Papers for Healthcare Reform Created: 03 Jun 2009	1320
RAC Appeals Process Resources Created: 17 May 2009	2798
RAC Documents for Region C Created: 17 May 2009	2024
RAC Demand Letter SAMPLE Created: 17 May 2009	1821
RAC Appeals Process Webinar Handout Created: 17 May 2009	1339
Click-Learn-Go-Tutorials Created: 01 May 2009	7734
RAC Statement of Work (SOW, updated 11/07/2007) Created: 28 Apr 2009	2894
CMS RAC Open Door Forum Transcript - April 8, 2009 Created: 26 Apr 2009	3614
FTC Health Breach Notification Rule Created: 20 Apr 2009	1303
CMS RAC Medical Record Request Limits Created: 20 Apr 2009	1349
Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009 Created: 03 Mar 2009	1206
Georgia Medicaid Self-Disclosure Demand Letter Created: 03 Mar 2009	1843
Condition Code 44 - MLN Article, April 2006 Created: 03 Mar 2009	1498
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" Created: 03 Mar 2009	1451
HIPPA 2009 Created: 03 Mar 2009	1411
‘‘American Recovery and Reinvestment Act of 2009" Created: 03 Mar 2009	1297
White House Budget Plan Outline for FY2010 Created: 01 Mar 2009	1206
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009 Created: 01 Mar 2009	1272
CMS Medicare Benefits Policy Manual Created: 10 Feb 2009	3271
CMS Transmittals Created: 10 Feb 2009	1102
CMS Medicare Internet-Only Manuals Created: 10 Feb 2009	2083
CMS Medicare Claims Processing Manual Created: 10 Feb 2009	8228
CMS Medicare Program Integrity Manual Created: 10 Feb 2009	4259
CPT Errata 2009 Created: 15 Dec 2008	1492
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers Created: 15 Dec 2008	1692
CMS HOPD Changes Created: 03 Nov 2008	1325
OIG Work Plan FY2009 Created: 20 Oct 2008	1326
IRF-PAI Manual Created: 16 Oct 2008	1495
OIG Open Letter Created: 15 Oct 2008	1251
CIA for St. Joseph's Hospital of Atlanta Created: 09 Oct 2008	1529
Medicare Payment Basics Documents Created: 08 Oct 2008	1164
Observation Status Rules Created: 01 Oct 2008	1450
CMS-HINN_12 Created: 29 Sep 2008	1490
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review Created: 26 Sep 2008	1298
ICD-10 Created: 25 Sep 2008	1344
HIPAA OCR Guidance Created: 23 Sep 2008	1419
CMS Reminds Providers of IRS Federal Payment Levy Program Created: 19 Sep 2008	1397
CMS Fact Sheet - Hospital Acquired Conditions Created: 28 Aug 2008	1329
Never List (HAC) Created: 28 Aug 2008	1298
IPPS and LTCHs Review and Measurement Fact Sheet Created: 28 Aug 2008	1243
Mississippi Top 5 Reasons for Claim Rejection June 2008 Created: 25 Aug 2008	1216
Georgia Top 5 Reasons for Claim Rejections June 2008 Created: 25 Aug 2008	1246
CMS Proposed Changes FY2009 Created: 16 Aug 2008	1236
Alabama Top 5 Reasons for Claims Rejection June, 2008 Created: 16 Aug 2008	1372
HFMA Improved Documentation Created: 16 Aug 2008	1272
OIG Work Plan FY2008 Created: 16 Aug 2008	1222
CDC ICD-9-CM Guidelines Created: 16 Aug 2008	1485
Glossary for RCM and Compliance Created: 16 Aug 2008	1304
Acronyms in Healthcare Created: 16 Aug 2008	1314
CMS Medically Unlikely Edits Created: 16 Aug 2008	1432
CMS Appeal of Claims Decision Created: 16 Aug 2008	1273
CMS RAC Status Document Created: 16 Aug 2008	1564
CMS Condition 44 Created: 16 Aug 2008	1370
CMS 1997 Guidelines for E/M Created: 16 Aug 2008	1523
CMS 1995 Guidelines for E/M Created: 16 Aug 2008	1570
CMS E/M Services Guide Created: 16 Aug 2008	1357
CMS Present on Admissions Fact Sheet Created: 16 Aug 2008	1302
CMS Hospital Observation Status Created: 16 Aug 2008	1436

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