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.

To search for a Document in this list, use the Filter boxes below:

Enter some text in the Filter Title box, below, then hit your Enter key, OR
Enter some text in the Filter Content box, to see documents that contain that text.

Filter Title

Filter Content

Document Title	Hits
CMS Recovery Audit Program Updates Created: 29 Nov 2011	118
2011 Medicare Advantage (Part C) Improper Payment Error Rate Created: 15 Nov 2011	120
2011 Medicaid Improper Payment Error Rate Created: 15 Nov 2011	131
2011 Original Medicare Improper Payment Error Rate Created: 15 Nov 2011	159
2011 Medicare Part D Improper Payment Error Rate Created: 15 Nov 2011	110
New York Hospitals: Hospital Inpatient DRGs, SIWs, Trimpoints, ALOS Created: 14 Nov 2011	193
Medicare Premiums And Deductibles For 2012 Created: 27 Oct 2011	110
OIG Work Plan 2012 Created: 20 Oct 2011	201
FY2012 IPPS Final Rule Published Created: 14 Oct 2011	167
Interactive Map with Medicaid Fraud Control Units' Statistical Data for FY 2010 Created: 13 Oct 2011	117
ICD9 Rehab Codes Added to the CC List for FY2012 Created: 10 Oct 2011	124
Electronic Submission of Medical Documentation (esMD) Created: 15 Sep 2011	112
RAC Statement of Work (SOW, updated 9/01/2011) Created: 13 Sep 2011	351
RAC Point of Contact Created: 24 Aug 2011	167
Testimony of Daniel Levinson, July 28, 2011 Created: 09 Aug 2011	197
Corporate Integrity Agreements Created: 09 Aug 2011	316
RAC Program Results (June, 2011) Created: 19 Jul 2011	209
Guidance on Hospital Inpatient Admission Decisions Created: 08 Jul 2011	207
CMS Transmittals Index, 2004 - May 2011 Created: 21 Jun 2011	198
Modifier -33 Article Created: 21 Jun 2011	266
July 2011 Update of the Hospital OPPS - MLN Article, May, 2011 Created: 27 May 2011	166
July 2011 Update IPF PPS Rate Year 2012 Created: 20 May 2011	221
EHR Attestation Resources from CMS Created: 17 May 2011	270
Medicare Savings Report Created: 12 May 2011	234
Medicare Shared Savings Program Created: 31 Mar 2011	262
Medicare Payment Advisory Commission Report to Congress March, 2011 Created: 17 Mar 2011	340
New Tools for Curbing Waste and Fraud in Medicare and Medicaid Created: 12 Mar 2011	310
CMS Transmittal 796: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services Created: 03 Mar 2011	453
State Medicaid RACs Created: 28 Feb 2011	477
Expansion of Inpatient Prospective Payment System Transfer Policy to Include Critical Access Hospitals (CAHs) and Non-Participating Hospitals Created: 23 Feb 2011	376
Auto Denial of Claims Submitted With a GZ Modifier Created: 04 Feb 2011	212
MLN Matters Articles Index, FY2004 - May 2011 Created: 31 Jan 2011	527
Healthcare Fraud and Abuse Control Program 2010 Annual Report Created: 25 Jan 2011	373
Compendium of Unimplemented OIG Recommendations Created: 24 Jan 2011	389
Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPSs) Created: 06 Jan 2011	237
State Medicaid Agencies Provider Directory Created: 04 Jan 2011	436
AHA RACTrac Reports Created: 13 Dec 2010	425
CMS Transmittal 361: Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews Created: 13 Dec 2010	487
AHA Claim Level Tracking Tool Created: 13 Dec 2010	456
CMS Inpatient Only List CY2012 Created: 09 Dec 2010	47
CMS Inpatient Only List CY2011 Created: 09 Dec 2010	3712
FY2011 OPPS Final Rule Published Created: 09 Dec 2010	846
OIG Physician Roadmap Created: 22 Nov 2010	536
OIG Exclusions Program Resources Created: 12 Nov 2010	480
OIG-OAS Reports Archive: FY2010, 2009 Audit Reports on CMS Created: 11 Nov 2010	787
FTC Red Flags Rule: Resources and Information Created: 10 Nov 2010	460
FTC Red Flags Rule, The Movie Created: 10 Nov 2010	687
2011 PAYMENT CHANGES FOR MEDICARE HOME HEALTH SERVICES Created: 03 Nov 2010	452
2011 HOSPITAL OUTPATIENT, AMBULATORY SURGICAL CENTER RATES Created: 03 Nov 2010	464
GlaxoSmithKline to Plead Guilty & Pay $750 Million Created: 02 Nov 2010	436
CMS Voluntary Self-Referral Disclosure Protocol Created: 01 Nov 2010	435
Reporting Hospital Quality Data for FY2011 Created: 31 Oct 2010	456
Corporate Integrity Agreement between OIG and The Christ Hospital in Cinncinnati, Ohio Created: 30 Oct 2010	499
CMS Use of Medicare Fee-for-Service Error Rate Data To Identify and Focus on Error-Prone Providers Created: 29 Oct 2010	439
October 5 2011 Accountable Care Organizations Workshop Created: 28 Oct 2010	499
OIG Work Plan 2011 Created: 27 Oct 2010	556
Why AKI was demoted to CC status by CMS Created: 15 Sep 2010	794
FY2011 IPPS Final Rule Published Created: 09 Sep 2010	542
Skilled Healthcare Group Class Action Lawsuit - Resources Created: 31 Aug 2010	898
CMS Report: Affordable Care Act Update: Implementing Medicare Cost Savings Created: 03 Aug 2010	1073
CMS Final Rule: Hospital IPPS for Acute Care Hospitals, LTCH PPPS Changes, FY2011 Rates Created: 31 Jul 2010	981
Improper Payments Elimination and Recovery Act of 2010 - Resources Created: 21 Jul 2010	749
WellCare Health Plan Whistleblower FCA Case - Resources Created: 19 Jul 2010	1199
CMS Press Release: Hospitalcompare.gov Created: 17 Jul 2010	1074
Meaningful Use of EHR - Resources Created: 15 Jul 2010	668
Modifier -59 Article Created: 23 May 2010	217
Clinical Review Judgement - Resources Created: 23 May 2010	1208
Report on Fraud Prevention by HHS/DOJ Created: 14 May 2010	797
The Affordable Care Act - Resources Created: 14 May 2010	801
CMS Inpatient Only List CY2010 Created: 13 May 2010	3996
HHS Live Video Feed Created: 12 May 2010	1201
Effective Compliance Program defined by Federal Sentencing Commission Created: 10 May 2010	1144
Summary Judgement: U.S. v. Sulzbach, S.D. Fla., April 16, 2010 Created: 10 May 2010	995
Health Care and Education Reconciliation Act of 2010 Created: 05 Apr 2010	1111
Patient Protection and Affordable Care Act Created: 05 Apr 2010	973
CMS Medicare Financial Management Manual Created: 04 Apr 2010	1226
Medicare Appeals Council Decisions: Part B Payable in Part A Denial Created: 04 Apr 2010	1656
Recovery Audit Contractors' Fraud Referrals (OEI-03-09-00130; 02/10) Created: 23 Mar 2010	1030
Reducing and Recapturing Improper Payments: Executive Order, Memorandum, Press Releases Created: 14 Mar 2010	2143
CMS Press Releases for FY2010 Policies Created: 03 Mar 2010	866
CMS Information Related to HIT Created: 03 Mar 2010	890
Additional Documentation Request Letter (ADR) Example Created: 03 Mar 2010	2117
Modification to Accommodate the Acute Care Episode (ACE) Demonstration Created: 02 Mar 2010	864
CMS FAQs on Observation, Condition Code 44 Created: 24 Feb 2010	4254
MUE Frequently Asked Questions at CMS Created: 15 Feb 2010	1384
Additional Documentation Limits for FY 2010 Created: 01 Feb 2010	1200
Statistical Analysis of RAC Approved DRG Validation Issues Created: 24 Jan 2010	1284
CMS Fact Sheet: Final 2010 Policy, Payment Changes for OPPS and ASCs Created: 18 Nov 2009	1088
Physician Services Payment & Policy Changes in 2010 Created: 18 Nov 2009	409
Proposed Rule: Medicare and Medicaid Programs EHR Incentive Program Created: 18 Nov 2009	1177
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: 18 Nov 2009	1072
CMS Fact Sheet: New Standards Used for 2009 Improper Payments Report Created: 18 Nov 2009	1577
CMS Press Release: New Calculation of Improper Medicare Payments for 2009 Created: 18 Nov 2009	1471
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule Created: 11 Nov 2009	1275
CMS Inpatient Only List CY2009 Created: 20 Oct 2009	2481
Part B Services That May Be Payable If Part A Claim Denied Created: 19 Oct 2009	1392
OIG Work Plan FY2010 Created: 07 Oct 2009	1536
CMS Final Rule: Limitation on Recoupment of Overpayments (09/16/2009) Created: 30 Sep 2009	1613
Largest Fraud Settlement in History: DOJ vs. Pfizer Created: 29 Sep 2009	1277
Health IT under ARRA with FAQs Created: 08 Sep 2009	1256
CMS Info Related to ARRA Created: 08 Sep 2009	613
GAO Report on Medicare Physician Payments - GAO-09-647 Created: 04 Sep 2009	1062
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies Created: 28 Aug 2009	3055
RAC New Issue Pages Created: 26 Aug 2009	11978
CMS Low Income Health Access Open Door Forum Created: 24 Aug 2009	1385
Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services Created: 24 Aug 2009	1231
FTC Final Breach Notification Form Created: 24 Aug 2009	1105
FTC Final Breach Notification Rule Created: 24 Aug 2009	1047
Breach Notification for Unsecured Protected Health Information Created: 24 Aug 2009	1222
Approved RAC Audit Issues: August 4, 2009 Created: 04 Aug 2009	2198
CMS FY 2009 IPPS Final Rule Home Page Created: 17 Jul 2009	1200
CMS RAC Review Phase-in Schedule & Strategy Created: 25 Jun 2009	2634
NCCI Resources Created: 05 Jun 2009	2751
Senate Finance Committee: Three Papers for Healthcare Reform Created: 03 Jun 2009	1295
RAC Documents for Region C Created: 17 May 2009	2001
RAC Demand Letter SAMPLE Created: 17 May 2009	1799
RAC Appeals Process Webinar Handout Created: 17 May 2009	1320
RAC Appeals Process Resources Created: 17 May 2009	2765
Click-Learn-Go-Tutorials Created: 01 May 2009	7456
RAC Statement of Work (SOW, updated 11/07/2007) Created: 28 Apr 2009	2820
CMS RAC Open Door Forum Transcript - April 8, 2009 Created: 26 Apr 2009	3522
FTC Health Breach Notification Rule Created: 20 Apr 2009	1286
CMS RAC Medical Record Request Limits Created: 20 Apr 2009	1339
Condition Code 44 - MLN Article, April 2006 Created: 03 Mar 2009	1480
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" Created: 03 Mar 2009	1426
Georgia Medicaid Self-Disclosure Demand Letter Created: 03 Mar 2009	1814
Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009 Created: 03 Mar 2009	1190
HIPPA 2009 Created: 03 Mar 2009	1400
‘‘American Recovery and Reinvestment Act of 2009" Created: 03 Mar 2009	1285
White House Budget Plan Outline for FY2010 Created: 01 Mar 2009	1192
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009 Created: 01 Mar 2009	1259
CMS Medicare Program Integrity Manual Created: 10 Feb 2009	4144
CMS Transmittals Created: 10 Feb 2009	1080
CMS Medicare Benefits Policy Manual Created: 10 Feb 2009	3196
CMS Medicare Internet-Only Manuals Created: 10 Feb 2009	2042
CMS Medicare Claims Processing Manual Created: 10 Feb 2009	8076
CPT Errata 2009 Created: 15 Dec 2008	1478
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers Created: 15 Dec 2008	1663
CMS HOPD Changes Created: 03 Nov 2008	1308
OIG Work Plan FY2009 Created: 20 Oct 2008	1311
IRF-PAI Manual Created: 16 Oct 2008	1468
OIG Open Letter Created: 15 Oct 2008	1222
CIA for St. Joseph's Hospital of Atlanta Created: 09 Oct 2008	1502
Medicare Payment Basics Documents Created: 08 Oct 2008	1144
Observation Status Rules Created: 01 Oct 2008	1430
CMS-HINN_12 Created: 29 Sep 2008	1453
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review Created: 26 Sep 2008	1287
ICD-10 Created: 25 Sep 2008	1320
HIPAA OCR Guidance Created: 23 Sep 2008	1384
CMS Reminds Providers of IRS Federal Payment Levy Program Created: 19 Sep 2008	1376
CMS Fact Sheet - Hospital Acquired Conditions Created: 28 Aug 2008	1316
Never List (HAC) Created: 28 Aug 2008	1283
IPPS and LTCHs Review and Measurement Fact Sheet Created: 28 Aug 2008	1235
Mississippi Top 5 Reasons for Claim Rejection June 2008 Created: 25 Aug 2008	1201
Georgia Top 5 Reasons for Claim Rejections June 2008 Created: 25 Aug 2008	1227
CMS Proposed Changes FY2009 Created: 16 Aug 2008	1218
Alabama Top 5 Reasons for Claims Rejection June, 2008 Created: 16 Aug 2008	1357
HFMA Improved Documentation Created: 16 Aug 2008	1249
OIG Work Plan FY2008 Created: 16 Aug 2008	1210
CDC ICD-9-CM Guidelines Created: 16 Aug 2008	1450
Glossary for RCM and Compliance Created: 16 Aug 2008	1284
Acronyms in Healthcare Created: 16 Aug 2008	1297
CMS Medically Unlikely Edits Created: 16 Aug 2008	1416
CMS Appeal of Claims Decision Created: 16 Aug 2008	1259
CMS RAC Status Document Created: 16 Aug 2008	1552
CMS Condition 44 Created: 16 Aug 2008	1341
CMS 1997 Guidelines for E/M Created: 16 Aug 2008	1500
CMS 1995 Guidelines for E/M Created: 16 Aug 2008	1550
CMS E/M Services Guide Created: 16 Aug 2008	1324
CMS Present on Admissions Fact Sheet Created: 16 Aug 2008	1283
CMS Hospital Observation Status Created: 16 Aug 2008	1403

Login or Register

Quick Links

Site Font Size: +A Reset -A

Customer Support:
1-877-EDU-TRAX
(1-877-338-8729)
7am - 9pm ET

Go back