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
Skilled Healthcare Group Class Action Lawsuit - Resources Created: 01 Sep 2010	6
CMS Report: Affordable Care Act Update: Implementing Medicare Cost Savings Created: 04 Aug 2010	64
CMS Final Rule: Hospital IPPS for Acute Care Hospitals, LTCH PPPS Changes, FY2011 Rates Created: 01 Aug 2010	110
Improper Payments Elimination and Recovery Act of 2010 - Resources Created: 22 Jul 2010	71
WellCare Health Plan Whistleblower FCA Case - Resources Created: 20 Jul 2010	169
CMS Press Release: Hospitalcompare.gov Created: 18 Jul 2010	98
Meaningful Use of EHR - Resources Created: 16 Jul 2010	105
Clinical Review Judgement - Resources Created: 24 May 2010	332
Report on Fraud Prevention by HHS/DOJ Created: 14 May 2010	231
The Affordable Care Act - Resources Created: 14 May 2010	222
CMS Inpatient Only List for CY2010 Created: 14 May 2010	444
HHS Live Video Feed Created: 13 May 2010	312
Effective Compliance Program defined by Federal Sentencing Commission Created: 11 May 2010	315
Summary Judgement: U.S. v. Sulzbach, S.D. Fla., April 16, 2010 Created: 11 May 2010	273
Health Care and Education Reconciliation Act of 2010 Created: 05 Apr 2010	395
Patient Protection and Affordable Care Act Created: 05 Apr 2010	349
Medicare Appeals Council Decisions: Part B Payable in Part A Denial Created: 05 Apr 2010	537
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
Reducing and Recapturing Improper Payments: Executive Order, Memorandum, Press Releases Created: 15 Mar 2010	623
Additional Documentation Request Letter (ADR) Example Created: 04 Mar 2010	1003
CMS Press Releases for FY2010 Policies Created: 04 Mar 2010	313
CMS Information Related to HIT Created: 04 Mar 2010	282
Modification to Accommodate the Acute Care Episode (ACE) Demonstration Created: 03 Mar 2010	325
CMS FAQs on Observation, Condition Code 44 Created: 25 Feb 2010	824
MUE Frequently Asked Questions at CMS Created: 16 Feb 2010	617
Additional Documentation Limits for FY 2010 Created: 01 Feb 2010	675
Statistical Analysis of RAC Approved DRG Validation Issues Created: 25 Jan 2010	576
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 Fact Sheet: Final 2010 Policy, Payment Changes for OPPS and ASCs Created: 19 Nov 2009	532
Proposed Rule: Medicare and Medicaid Programs EHR Incentive Program Created: 19 Nov 2009	527
CMS Fact Sheet: New Standards Used for 2009 Improper Payments Report Created: 18 Nov 2009	852
CMS Press Release: New Calculation of Improper Medicare Payments for 2009 Created: 18 Nov 2009	709
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule Created: 12 Nov 2009	609
CMS Inpatient Only List 2009 Created: 20 Oct 2009	943
Part B Services That May Be Payable If Part A Claim Denied Created: 19 Oct 2009	744
OIG Work Plan FY2010 Created: 07 Oct 2009	869
CMS Final Rule: Limitation on Recoupment of Overpayments (09/16/2009) Created: 30 Sep 2009	565
Largest Fraud Settlement in History: DOJ vs. Pfizer Created: 29 Sep 2009	613
Health IT under ARRA with FAQs Created: 08 Sep 2009	595
GAO Report on Medicare Physician Payments - GAO-09-647 Created: 04 Sep 2009	535
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies Created: 29 Aug 2009	1320
RAC New Issue Pages Created: 26 Aug 2009	8130
CMS Low Income Health Access Open Door Forum Created: 24 Aug 2009	532
Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services Created: 24 Aug 2009	638
FTC Final Breach Notification Rule Created: 24 Aug 2009	552
FTC Final Breach Notification Form Created: 24 Aug 2009	539
Breach Notification for Unsecured Protected Health Information Created: 24 Aug 2009	583
Approved RAC Audit Issues: August 4, 2009 Created: 04 Aug 2009	1549
CMS FY 2009 IPPS Final Rule Home Page Created: 17 Jul 2009	674
CMS RAC Review Phase-in Schedule & Strategy Created: 25 Jun 2009	1442
CMS MUE Resources Created: 05 Jun 2009	1415
Senate Finance Committee: Three Papers for Healthcare Reform Created: 03 Jun 2009	635
RAC Appeals Process Resources Created: 17 May 2009	1646
RAC Documents for Region C Created: 17 May 2009	1245
RAC Demand Letter SAMPLE Created: 17 May 2009	1010
RAC Appeals Process Webinar Handout Created: 17 May 2009	742
Click-Learn-Go-Tutorials Created: 01 May 2009	2208
RAC Statement of Work (SOW, updated 11/07/2007) Created: 28 Apr 2009	1326
CMS RAC Open Door Forum Transcript - April 8, 2009 Created: 27 Apr 2009	1015
FTC Health Breach Notification Rule Created: 20 Apr 2009	665
CMS RAC Medical Record Request Limits Created: 20 Apr 2009	731
Georgia Medicaid Self-Disclosure Demand Letter Created: 03 Mar 2009	949
Condition Code 44 - MLN Article, April 2006 Created: 03 Mar 2009	700
Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009 Created: 03 Mar 2009	499
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" Created: 03 Mar 2009	826
HIPPA 2009 Created: 03 Mar 2009	693
‘‘American Recovery and Reinvestment Act of 2009" Created: 03 Mar 2009	719
White House Budget Plan Outline for FY2010 Created: 01 Mar 2009	625
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009 Created: 01 Mar 2009	667
CMS RAC Expansion Schedule Map Created: 10 Feb 2009	695
CMS Transmittals Created: 10 Feb 2009	520
CMS Medicare Claims Processing Manual Created: 10 Feb 2009	4136
CMS Medicare Program Integrity Manual Created: 10 Feb 2009	1580
CMS Medicare Benefits Policy Manual Created: 10 Feb 2009	1272
CMS Medicare Internet-Only Manuals Created: 10 Feb 2009	1013
CPT Errata 2009 Created: 16 Dec 2008	825
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers Created: 15 Dec 2008	826
CMS HOPD Changes Created: 03 Nov 2008	695
OIG Work Plan FY2009 Created: 20 Oct 2008	732
IRF-PAI Manual Created: 16 Oct 2008	771
OIG Open Letter Created: 15 Oct 2008	631
CIA for St. Joseph's Hospital of Atlanta Created: 09 Oct 2008	723
Medicare Payment Basics Documents Created: 08 Oct 2008	602
Observation Status Rules Created: 01 Oct 2008	677
CMS-HINN_12 Created: 29 Sep 2008	705
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review Created: 26 Sep 2008	696
ICD-10 Created: 25 Sep 2008	651
HIPAA OCR Guidance Created: 23 Sep 2008	698
CMS Reminds Providers of IRS Federal Payment Levy Program Created: 19 Sep 2008	730
CMS Fact Sheet - Hospital Acquired Conditions Created: 28 Aug 2008	715
Never List (HAC) Created: 28 Aug 2008	645
IPPS and LTCHs Review and Measurement Fact Sheet Created: 28 Aug 2008	694
Mississippi Top 5 Reasons for Claim Rejection June 2008 Created: 25 Aug 2008	650
Georgia Top 5 Reasons for Claim Rejections June 2008 Created: 25 Aug 2008	658
CMS Proposed Changes FY2009 Created: 16 Aug 2008	678
Alabama Top 5 Reasons for Claims Rejection June, 2008 Created: 16 Aug 2008	761
HFMA Improved Documentation Created: 16 Aug 2008	655
OIG Work Plan FY2008 Created: 16 Aug 2008	681
CDC ICD-9-CM Guidelines Created: 16 Aug 2008	703
Glossary for RCM and Compliance Created: 16 Aug 2008	643
Acronyms in Healthcare Created: 16 Aug 2008	682
CMS Medically Unlikely Edits Created: 16 Aug 2008	716
CMS Appeal of Claims Decision Created: 16 Aug 2008	684
CMS RAC Status Document Created: 16 Aug 2008	835
CMS Condition 44 Created: 16 Aug 2008	705
CMS 1997 Guidelines for E/M Created: 16 Aug 2008	813
CMS 1995 Guidelines for E/M Created: 16 Aug 2008	725
CMS E/M Services Guide Created: 16 Aug 2008	718
CMS Present on Admissions Fact Sheet Created: 16 Aug 2008	684
CMS Hospital Observation Status 3 of 3 Created: 16 Aug 2008	772
CMS Hospital Observation Status 2 of 3 Created: 16 Aug 2008	688
CMS Hospital Observation Status 1 of 3 Created: 16 Aug 2008	719

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