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
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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