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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Additional Documentation Request Letter (ADR) Example
Created: 04 Mar 2010
88
CMS Press Releases for FY2010 Policies
Created: 04 Mar 2010
7
CMS Information Related to HIT
Created: 04 Mar 2010
5
Modification to Accommodate the Acute Care Episode (ACE) Demonstration
Created: 03 Mar 2010
7
CMS FAQs on Observation, Condition Code 44
Created: 25 Feb 2010
35
MUE Frequently Asked Questions at CMS
Created: 16 Feb 2010
255
Additional Documentation Limits for FY 2010
Created: 01 Feb 2010
343
Statistical Analysis of RAC Approved DRG Validation Issues
Created: 25 Jan 2010
244
CMS Fact Sheet: Final 2010 Policy, Payment Changes for OPPS and ASCs
Created: 19 Nov 2009
194
Proposed Rule: Medicare and Medicaid Programs EHR Incentive Program
Created: 19 Nov 2009
148
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
151
CMS Fact Sheet: New Standards Used for 2009 Improper Payments Report
Created: 18 Nov 2009
371
CMS Press Release: New Calculation of Improper Medicare Payments for 2009
Created: 18 Nov 2009
260
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule
Created: 12 Nov 2009
218
CMS Inpatient Only List 2009
Created: 20 Oct 2009
349
Part B Services That May Be Payable If Part A Claim Denied
Created: 19 Oct 2009
407
OIG Work Plan FY2010
Created: 07 Oct 2009
434
CMS Final Rule: Limitation on Recoupment of Overpayments (09/16/2009)
Created: 30 Sep 2009
238
Largest Fraud Settlement in History: DOJ vs. Pfizer
Created: 29 Sep 2009
290
Health IT under ARRA with FAQs
Created: 08 Sep 2009
255
GAO Report on Medicare Physician Payments - GAO-09-647
Created: 04 Sep 2009
254
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies
Created: 29 Aug 2009
347
RAC New Issue Pages
Created: 26 Aug 2009
4614
CMS Low Income Health Access Open Door Forum
Created: 24 Aug 2009
209
Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services
Created: 24 Aug 2009
272
FTC Final Breach Notification Rule
Created: 24 Aug 2009
261
FTC Final Breach Notification Form
Created: 24 Aug 2009
256
Breach Notification for Unsecured Protected Health Information
Created: 24 Aug 2009
269
Approved RAC Audit Issues: August 4, 2009
Created: 04 Aug 2009
1156
CMS FY 2009 IPPS Final Rule Home Page
Created: 17 Jul 2009
306
CMS RAC Review Phase-in Schedule & Strategy
Created: 25 Jun 2009
571
CMS MUE Resources
Created: 05 Jun 2009
778
Senate Finance Committee: Three Papers for Healthcare Reform
Created: 03 Jun 2009
331
RAC Appeals Process Webinar Handout
Created: 17 May 2009
398
RAC Appeals Process Resources
Created: 17 May 2009
792
RAC Demand Letter SAMPLE
Created: 17 May 2009
690
RAC Documents for Region C
Created: 17 May 2009
848
Click-Learn-Go-Tutorials
Created: 01 May 2009
1083
RAC Statement of Work (SOW, updated 11/07/2007)
Created: 28 Apr 2009
610
CMS RAC Open Door Forum Transcript - April 8, 2009
Created: 27 Apr 2009
486
FTC Health Breach Notification Rule
Created: 20 Apr 2009
376
CMS RAC Medical Record Request Limits
Created: 20 Apr 2009
412
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient"
Created: 03 Mar 2009
508
Condition Code 44 - MLN Article, April 2006
Created: 03 Mar 2009
387
Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009
Created: 03 Mar 2009
140
Georgia Medicaid Self-Disclosure Demand Letter
Created: 03 Mar 2009
574
HIPPA 2009
Created: 03 Mar 2009
382
‘‘American Recovery and Reinvestment Act of 2009"
Created: 03 Mar 2009
390
White House Budget Plan Outline for FY2010
Created: 01 Mar 2009
353
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009
Created: 01 Mar 2009
367
CMS RAC Expansion Schedule Map
Created: 10 Feb 2009
392
CMS Transmittals
Created: 10 Feb 2009
224
CMS Medicare Claims Processing Manual
Created: 10 Feb 2009
2635
CMS Medicare Program Integrity Manual
Created: 10 Feb 2009
807
CMS Medicare Internet-Only Manuals
Created: 10 Feb 2009
546
CMS Medicare Benefit Policy Manual
Created: 10 Feb 2009
466
CPT Errata 2009
Created: 16 Dec 2008
462
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers
Created: 15 Dec 2008
460
CMS HOPD Changes
Created: 03 Nov 2008
385
OIG Work Plan FY2009
Created: 20 Oct 2008
406
IRF-PAI Manual
Created: 16 Oct 2008
375
Medicare Benefits Policy Manual
Created: 16 Oct 2008
382
OIG Open Letter
Created: 15 Oct 2008
358
CIA for St. Joseph's Hospital of Atlanta
Created: 09 Oct 2008
419
Medicare Payment Basics Documents
Created: 08 Oct 2008
328
Observation Status Rules
Created: 01 Oct 2008
393
CMS-HINN_12
Created: 29 Sep 2008
382
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review
Created: 26 Sep 2008
406
ICD-10
Created: 25 Sep 2008
389
HIPAA OCR Guidance
Created: 23 Sep 2008
407
CMS Reminds Providers of IRS Federal Payment Levy Program
Created: 19 Sep 2008
452
CMS Fact Sheet - Hospital Acquired Conditions
Created: 28 Aug 2008
384
Never List (HAC)
Created: 28 Aug 2008
344
FY2009 IPPS Final Rule
Created: 28 Aug 2008
419
IPPS and LTCHs Review and Measurement Fact Sheet
Created: 28 Aug 2008
356
Mississippi Top 5 Reasons for Claim Rejection June 2008
Created: 25 Aug 2008
359
Georgia Top 5 Reasons for Claim Rejections June 2008
Created: 25 Aug 2008
392
CMS Proposed Changes FY2009
Created: 16 Aug 2008
369
Alabama Top 5 Reasons for Claims Rejection June, 2008
Created: 16 Aug 2008
436
HFMA Improved Documentation
Created: 16 Aug 2008
358
OIG Work Plan FY2008
Created: 16 Aug 2008
391
CDC ICD-9-CM Guidelines
Created: 16 Aug 2008
417
Glossary for RCM and Compliance
Created: 16 Aug 2008
364
Acronyms in Healthcare
Created: 16 Aug 2008
382
CMS Medically Unlikely Edits
Created: 16 Aug 2008
417
CMS Appeal of Claims Decision
Created: 16 Aug 2008
373
CMS RAC Status Document
Created: 16 Aug 2008
493
CMS Condition 44
Created: 16 Aug 2008
400
CMS 1997 Guidelines for E/M
Created: 16 Aug 2008
423
CMS 1995 Guidelines for E/M
Created: 16 Aug 2008
401
CMS E/M Services Guide
Created: 16 Aug 2008
440
CMS Present on Admissions Fact Sheet
Created: 16 Aug 2008
380
CMS Hospital Observation Status 3 of 3
Created: 16 Aug 2008
405
CMS Hospital Observation Status 2 of 3
Created: 16 Aug 2008
385
CMS Hospital Observation Status 1 of 3
Created: 16 Aug 2008
409

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