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
Reducing and Recapturing Improper Payments: Executive Order, Memorandum, Press Releases Created: 15 Mar 2010	47
Additional Documentation Request Letter (ADR) Example Created: 04 Mar 2010	119
CMS Press Releases for FY2010 Policies Created: 04 Mar 2010	13
CMS Information Related to HIT Created: 04 Mar 2010	7
Modification to Accommodate the Acute Care Episode (ACE) Demonstration Created: 03 Mar 2010	9
CMS FAQs on Observation, Condition Code 44 Created: 25 Feb 2010	49
MUE Frequently Asked Questions at CMS Created: 16 Feb 2010	266
Additional Documentation Limits for FY 2010 Created: 01 Feb 2010	354
Statistical Analysis of RAC Approved DRG Validation Issues Created: 25 Jan 2010	252
Proposed Rule: Medicare and Medicaid Programs EHR Incentive Program Created: 19 Nov 2009	157
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	161
CMS Fact Sheet: Final 2010 Policy, Payment Changes for OPPS and ASCs Created: 19 Nov 2009	201
CMS Fact Sheet: New Standards Used for 2009 Improper Payments Report Created: 18 Nov 2009	375
CMS Press Release: New Calculation of Improper Medicare Payments for 2009 Created: 18 Nov 2009	268
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule Created: 12 Nov 2009	224
CMS Inpatient Only List 2009 Created: 20 Oct 2009	374
Part B Services That May Be Payable If Part A Claim Denied Created: 19 Oct 2009	412
OIG Work Plan FY2010 Created: 07 Oct 2009	448
CMS Final Rule: Limitation on Recoupment of Overpayments (09/16/2009) Created: 30 Sep 2009	248
Largest Fraud Settlement in History: DOJ vs. Pfizer Created: 29 Sep 2009	299
Health IT under ARRA with FAQs Created: 08 Sep 2009	263
GAO Report on Medicare Physician Payments - GAO-09-647 Created: 04 Sep 2009	263
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies Created: 29 Aug 2009	375
RAC New Issue Pages Created: 26 Aug 2009	4675
CMS Low Income Health Access Open Door Forum Created: 24 Aug 2009	218
Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services Created: 24 Aug 2009	279
FTC Final Breach Notification Form Created: 24 Aug 2009	267
FTC Final Breach Notification Rule Created: 24 Aug 2009	267
Breach Notification for Unsecured Protected Health Information Created: 24 Aug 2009	281
Approved RAC Audit Issues: August 4, 2009 Created: 04 Aug 2009	1167
CMS FY 2009 IPPS Final Rule Home Page Created: 17 Jul 2009	310
CMS RAC Review Phase-in Schedule & Strategy Created: 25 Jun 2009	593
CMS MUE Resources Created: 05 Jun 2009	805
Senate Finance Committee: Three Papers for Healthcare Reform Created: 03 Jun 2009	341
RAC Appeals Process Resources Created: 17 May 2009	830
RAC Demand Letter SAMPLE Created: 17 May 2009	701
RAC Documents for Region C Created: 17 May 2009	861
RAC Appeals Process Webinar Handout Created: 17 May 2009	413
Click-Learn-Go-Tutorials Created: 01 May 2009	1114
RAC Statement of Work (SOW, updated 11/07/2007) Created: 28 Apr 2009	630
CMS RAC Open Door Forum Transcript - April 8, 2009 Created: 27 Apr 2009	508
FTC Health Breach Notification Rule Created: 20 Apr 2009	384
CMS RAC Medical Record Request Limits Created: 20 Apr 2009	416
Condition Code 44 - MLN Article, April 2006 Created: 03 Mar 2009	392
Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009 Created: 03 Mar 2009	147
Georgia Medicaid Self-Disclosure Demand Letter Created: 03 Mar 2009	580
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" Created: 03 Mar 2009	514
HIPPA 2009 Created: 03 Mar 2009	387
‘‘American Recovery and Reinvestment Act of 2009" Created: 03 Mar 2009	394
White House Budget Plan Outline for FY2010 Created: 01 Mar 2009	354
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009 Created: 01 Mar 2009	371
CMS RAC Expansion Schedule Map Created: 10 Feb 2009	398
CMS Transmittals Created: 10 Feb 2009	228
CMS Medicare Program Integrity Manual Created: 10 Feb 2009	857
CMS Medicare Internet-Only Manuals Created: 10 Feb 2009	563
CMS Medicare Benefit Policy Manual Created: 10 Feb 2009	499
CMS Medicare Claims Processing Manual Created: 10 Feb 2009	2712
CPT Errata 2009 Created: 16 Dec 2008	469
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers Created: 15 Dec 2008	467
CMS HOPD Changes Created: 03 Nov 2008	391
OIG Work Plan FY2009 Created: 20 Oct 2008	411
IRF-PAI Manual Created: 16 Oct 2008	380
Medicare Benefits Policy Manual Created: 16 Oct 2008	387
OIG Open Letter Created: 15 Oct 2008	362
CIA for St. Joseph's Hospital of Atlanta Created: 09 Oct 2008	420
Medicare Payment Basics Documents Created: 08 Oct 2008	332
Observation Status Rules Created: 01 Oct 2008	400
CMS-HINN_12 Created: 29 Sep 2008	393
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review Created: 26 Sep 2008	409
ICD-10 Created: 25 Sep 2008	391
HIPAA OCR Guidance Created: 23 Sep 2008	414
CMS Reminds Providers of IRS Federal Payment Levy Program Created: 19 Sep 2008	457
CMS Fact Sheet - Hospital Acquired Conditions Created: 28 Aug 2008	384
Never List (HAC) Created: 28 Aug 2008	350
IPPS and LTCHs Review and Measurement Fact Sheet Created: 28 Aug 2008	364
Mississippi Top 5 Reasons for Claim Rejection June 2008 Created: 25 Aug 2008	372
Georgia Top 5 Reasons for Claim Rejections June 2008 Created: 25 Aug 2008	398
CMS Proposed Changes FY2009 Created: 16 Aug 2008	373
Alabama Top 5 Reasons for Claims Rejection June, 2008 Created: 16 Aug 2008	442
HFMA Improved Documentation Created: 16 Aug 2008	365
OIG Work Plan FY2008 Created: 16 Aug 2008	395
CDC ICD-9-CM Guidelines Created: 16 Aug 2008	425
Glossary for RCM and Compliance Created: 16 Aug 2008	371
Acronyms in Healthcare Created: 16 Aug 2008	387
CMS Medically Unlikely Edits Created: 16 Aug 2008	421
CMS Appeal of Claims Decision Created: 16 Aug 2008	380
CMS RAC Status Document Created: 16 Aug 2008	498
CMS Condition 44 Created: 16 Aug 2008	406
CMS 1997 Guidelines for E/M Created: 16 Aug 2008	432
CMS 1995 Guidelines for E/M Created: 16 Aug 2008	408
CMS E/M Services Guide Created: 16 Aug 2008	443
CMS Present on Admissions Fact Sheet Created: 16 Aug 2008	384
CMS Hospital Observation Status 3 of 3 Created: 16 Aug 2008	421
CMS Hospital Observation Status 2 of 3 Created: 16 Aug 2008	396
CMS Hospital Observation Status 1 of 3 Created: 16 Aug 2008	416

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