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Document Title Hits
RAC New Issue Pages
Created: 26 Aug 2009
8131
CMS Medicare Claims Processing Manual
Created: 10 Feb 2009
4136
Click-Learn-Go-Tutorials
Created: 01 May 2009
2208
RAC Appeals Process Resources
Created: 17 May 2009
1646
CMS Medicare Program Integrity Manual
Created: 10 Feb 2009
1580
Approved RAC Audit Issues: August 4, 2009
Created: 04 Aug 2009
1549
CMS RAC Review Phase-in Schedule & Strategy
Created: 25 Jun 2009
1442
CMS MUE Resources
Created: 05 Jun 2009
1415
RAC Statement of Work (SOW, updated 11/07/2007)
Created: 28 Apr 2009
1326
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies
Created: 29 Aug 2009
1320
CMS Medicare Benefits Policy Manual
Created: 10 Feb 2009
1272
RAC Documents for Region C
Created: 17 May 2009
1245
CMS RAC Open Door Forum Transcript - April 8, 2009
Created: 27 Apr 2009
1015
CMS Medicare Internet-Only Manuals
Created: 10 Feb 2009
1013
RAC Demand Letter SAMPLE
Created: 17 May 2009
1010
Additional Documentation Request Letter (ADR) Example
Created: 04 Mar 2010
1003
Georgia Medicaid Self-Disclosure Demand Letter
Created: 03 Mar 2009
949
CMS Inpatient Only List 2009
Created: 20 Oct 2009
943
OIG Work Plan FY2010
Created: 07 Oct 2009
869
CMS Fact Sheet: New Standards Used for 2009 Improper Payments Report
Created: 18 Nov 2009
852
CMS RAC Status Document
Created: 16 Aug 2008
835
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient"
Created: 03 Mar 2009
826
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers
Created: 15 Dec 2008
826
CPT Errata 2009
Created: 16 Dec 2008
825
CMS FAQs on Observation, Condition Code 44
Created: 25 Feb 2010
824
CMS 1997 Guidelines for E/M
Created: 16 Aug 2008
813
CMS Hospital Observation Status 3 of 3
Created: 16 Aug 2008
772
IRF-PAI Manual
Created: 16 Oct 2008
771
Alabama Top 5 Reasons for Claims Rejection June, 2008
Created: 16 Aug 2008
761
Part B Services That May Be Payable If Part A Claim Denied
Created: 19 Oct 2009
744
RAC Appeals Process Webinar Handout
Created: 17 May 2009
742
OIG Work Plan FY2009
Created: 20 Oct 2008
732
CMS RAC Medical Record Request Limits
Created: 20 Apr 2009
731
CMS Reminds Providers of IRS Federal Payment Levy Program
Created: 19 Sep 2008
730
CMS 1995 Guidelines for E/M
Created: 16 Aug 2008
725
CIA for St. Joseph's Hospital of Atlanta
Created: 09 Oct 2008
723
‘‘American Recovery and Reinvestment Act of 2009"
Created: 03 Mar 2009
719
CMS Hospital Observation Status 1 of 3
Created: 16 Aug 2008
719
CMS E/M Services Guide
Created: 16 Aug 2008
718
CMS Medically Unlikely Edits
Created: 16 Aug 2008
716
CMS Fact Sheet - Hospital Acquired Conditions
Created: 28 Aug 2008
715
CMS Press Release: New Calculation of Improper Medicare Payments for 2009
Created: 18 Nov 2009
709
CMS-HINN_12
Created: 29 Sep 2008
705
CMS Condition 44
Created: 16 Aug 2008
705
CDC ICD-9-CM Guidelines
Created: 16 Aug 2008
703
Condition Code 44 - MLN Article, April 2006
Created: 03 Mar 2009
700
HIPAA OCR Guidance
Created: 23 Sep 2008
698
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review
Created: 26 Sep 2008
696
CMS RAC Expansion Schedule Map
Created: 10 Feb 2009
695
CMS HOPD Changes
Created: 03 Nov 2008
695
IPPS and LTCHs Review and Measurement Fact Sheet
Created: 28 Aug 2008
694
HIPPA 2009
Created: 03 Mar 2009
693
CMS Hospital Observation Status 2 of 3
Created: 16 Aug 2008
688
CMS Appeal of Claims Decision
Created: 16 Aug 2008
684
CMS Present on Admissions Fact Sheet
Created: 16 Aug 2008
684
Acronyms in Healthcare
Created: 16 Aug 2008
682
OIG Work Plan FY2008
Created: 16 Aug 2008
681
CMS Proposed Changes FY2009
Created: 16 Aug 2008
678
Observation Status Rules
Created: 01 Oct 2008
677
Additional Documentation Limits for FY 2010
Created: 01 Feb 2010
675
CMS FY 2009 IPPS Final Rule Home Page
Created: 17 Jul 2009
674
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009
Created: 01 Mar 2009
667
FTC Health Breach Notification Rule
Created: 20 Apr 2009
665
Georgia Top 5 Reasons for Claim Rejections June 2008
Created: 25 Aug 2008
658
HFMA Improved Documentation
Created: 16 Aug 2008
655
ICD-10
Created: 25 Sep 2008
651
Mississippi Top 5 Reasons for Claim Rejection June 2008
Created: 25 Aug 2008
650
Never List (HAC)
Created: 28 Aug 2008
645
Glossary for RCM and Compliance
Created: 16 Aug 2008
643
Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services
Created: 24 Aug 2009
638
Senate Finance Committee: Three Papers for Healthcare Reform
Created: 03 Jun 2009
635
OIG Open Letter
Created: 15 Oct 2008
631
White House Budget Plan Outline for FY2010
Created: 01 Mar 2009
625
Reducing and Recapturing Improper Payments: Executive Order, Memorandum, Press Releases
Created: 15 Mar 2010
623
MUE Frequently Asked Questions at CMS
Created: 16 Feb 2010
617
Largest Fraud Settlement in History: DOJ vs. Pfizer
Created: 29 Sep 2009
613
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule
Created: 12 Nov 2009
609
Medicare Payment Basics Documents
Created: 08 Oct 2008
602
Health IT under ARRA with FAQs
Created: 08 Sep 2009
595
Breach Notification for Unsecured Protected Health Information
Created: 24 Aug 2009
583
Statistical Analysis of RAC Approved DRG Validation Issues
Created: 25 Jan 2010
576
CMS Final Rule: Limitation on Recoupment of Overpayments (09/16/2009)
Created: 30 Sep 2009
565
FTC Final Breach Notification Rule
Created: 24 Aug 2009
552
FTC Final Breach Notification Form
Created: 24 Aug 2009
539
Medicare Appeals Council Decisions: Part B Payable in Part A Denial
Created: 05 Apr 2010
537
GAO Report on Medicare Physician Payments - GAO-09-647
Created: 04 Sep 2009
535
CMS Fact Sheet: Final 2010 Policy, Payment Changes for OPPS and ASCs
Created: 19 Nov 2009
532
CMS Low Income Health Access Open Door Forum
Created: 24 Aug 2009
532
Proposed Rule: Medicare and Medicaid Programs EHR Incentive Program
Created: 19 Nov 2009
527
CMS Transmittals
Created: 10 Feb 2009
520
Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009
Created: 03 Mar 2009
499
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: 19 Nov 2009
487
CMS Inpatient Only List for CY2010
Created: 14 May 2010
444
Health Care and Education Reconciliation Act of 2010
Created: 05 Apr 2010
395
CMS Medicare Financial Management Manual
Created: 05 Apr 2010
378
Recovery Audit Contractors' Fraud Referrals (OEI-03-09-00130; 02/10)
Created: 24 Mar 2010
364
Patient Protection and Affordable Care Act
Created: 05 Apr 2010
349
Clinical Review Judgement - Resources
Created: 24 May 2010
332
Modification to Accommodate the Acute Care Episode (ACE) Demonstration
Created: 03 Mar 2010
325
Effective Compliance Program defined by Federal Sentencing Commission
Created: 11 May 2010
315
CMS Press Releases for FY2010 Policies
Created: 04 Mar 2010
313
HHS Live Video Feed
Created: 13 May 2010
312
CMS Information Related to HIT
Created: 04 Mar 2010
282
Summary Judgement: U.S. v. Sulzbach, S.D. Fla., April 16, 2010
Created: 11 May 2010
273
Report on Fraud Prevention by HHS/DOJ
Created: 14 May 2010
231
The Affordable Care Act - Resources
Created: 14 May 2010
222
WellCare Health Plan Whistleblower FCA Case - Resources
Created: 20 Jul 2010
169
CMS Final Rule: Hospital IPPS for Acute Care Hospitals, LTCH PPPS Changes, FY2011 Rates
Created: 01 Aug 2010
110
Meaningful Use of EHR - Resources
Created: 16 Jul 2010
105
CMS Press Release: Hospitalcompare.gov
Created: 18 Jul 2010
98
Improper Payments Elimination and Recovery Act of 2010 - Resources
Created: 22 Jul 2010
71
CMS Report: Affordable Care Act Update: Implementing Medicare Cost Savings
Created: 04 Aug 2010
64
Skilled Healthcare Group Class Action Lawsuit - Resources
Created: 01 Sep 2010
6
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