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
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	68
CMS Final Rule: Hospital IPPS for Acute Care Hospitals, LTCH PPPS Changes, FY2011 Rates Created: 01 Aug 2010	113
Improper Payments Elimination and Recovery Act of 2010 - Resources Created: 22 Jul 2010	72
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	333
Report on Fraud Prevention by HHS/DOJ Created: 14 May 2010	231
The Affordable Care Act - Resources Created: 14 May 2010	223
CMS Inpatient Only List for CY2010 Created: 14 May 2010	455
HHS Live Video Feed Created: 13 May 2010	312
Effective Compliance Program defined by Federal Sentencing Commission Created: 11 May 2010	318
Summary Judgement: U.S. v. Sulzbach, S.D. Fla., April 16, 2010 Created: 11 May 2010	274
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	365
Reducing and Recapturing Improper Payments: Executive Order, Memorandum, Press Releases Created: 15 Mar 2010	624
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	827
MUE Frequently Asked Questions at CMS Created: 16 Feb 2010	617
Additional Documentation Limits for FY 2010 Created: 01 Feb 2010	676
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	533
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	854
CMS Press Release: New Calculation of Improper Medicare Payments for 2009 Created: 18 Nov 2009	712
FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule Created: 12 Nov 2009	612
CMS Inpatient Only List 2009 Created: 20 Oct 2009	945
Part B Services That May Be Payable If Part A Claim Denied Created: 19 Oct 2009	745
OIG Work Plan FY2010 Created: 07 Oct 2009	872
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	537
Clarification of Patient Discharge Status Codes and Hospital Transfer Policies Created: 29 Aug 2009	1322
RAC New Issue Pages Created: 26 Aug 2009	8142
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	1551
CMS FY 2009 IPPS Final Rule Home Page Created: 17 Jul 2009	676
CMS RAC Review Phase-in Schedule & Strategy Created: 25 Jun 2009	1444
CMS MUE Resources Created: 05 Jun 2009	1417
Senate Finance Committee: Three Papers for Healthcare Reform Created: 03 Jun 2009	636
RAC Appeals Process Resources Created: 17 May 2009	1650
RAC Documents for Region C Created: 17 May 2009	1248
RAC Demand Letter SAMPLE Created: 17 May 2009	1011
RAC Appeals Process Webinar Handout Created: 17 May 2009	743
Click-Learn-Go-Tutorials Created: 01 May 2009	2213
RAC Statement of Work (SOW, updated 11/07/2007) Created: 28 Apr 2009	1329
CMS RAC Open Door Forum Transcript - April 8, 2009 Created: 27 Apr 2009	1018
FTC Health Breach Notification Rule Created: 20 Apr 2009	666
CMS RAC Medical Record Request Limits Created: 20 Apr 2009	733
Georgia Medicaid Self-Disclosure Demand Letter Created: 03 Mar 2009	950
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	500
Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" Created: 03 Mar 2009	828
HIPPA 2009 Created: 03 Mar 2009	694
‘‘American Recovery and Reinvestment Act of 2009" Created: 03 Mar 2009	720
White House Budget Plan Outline for FY2010 Created: 01 Mar 2009	628
CBO Director Testimony before Senate Finance Committee, Feb 25, 2009 Created: 01 Mar 2009	668
CMS RAC Expansion Schedule Map Created: 10 Feb 2009	696
CMS Transmittals Created: 10 Feb 2009	520
CMS Medicare Claims Processing Manual Created: 10 Feb 2009	4139
CMS Medicare Program Integrity Manual Created: 10 Feb 2009	1584
CMS Medicare Benefits Policy Manual Created: 10 Feb 2009	1275
CMS Medicare Internet-Only Manuals Created: 10 Feb 2009	1015
CPT Errata 2009 Created: 16 Dec 2008	827
Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers Created: 15 Dec 2008	827
CMS HOPD Changes Created: 03 Nov 2008	697
OIG Work Plan FY2009 Created: 20 Oct 2008	733
IRF-PAI Manual Created: 16 Oct 2008	773
OIG Open Letter Created: 15 Oct 2008	632
CIA for St. Joseph's Hospital of Atlanta Created: 09 Oct 2008	724
Medicare Payment Basics Documents Created: 08 Oct 2008	604
Observation Status Rules Created: 01 Oct 2008	679
CMS-HINN_12 Created: 29 Sep 2008	707
CMS Publishes Final Rule on Non-Random Prepayment Complex Medical Review Created: 26 Sep 2008	697
ICD-10 Created: 25 Sep 2008	652
HIPAA OCR Guidance Created: 23 Sep 2008	700
CMS Reminds Providers of IRS Federal Payment Levy Program Created: 19 Sep 2008	731
CMS Fact Sheet - Hospital Acquired Conditions Created: 28 Aug 2008	716
Never List (HAC) Created: 28 Aug 2008	645
IPPS and LTCHs Review and Measurement Fact Sheet Created: 28 Aug 2008	695
Mississippi Top 5 Reasons for Claim Rejection June 2008 Created: 25 Aug 2008	651
Georgia Top 5 Reasons for Claim Rejections June 2008 Created: 25 Aug 2008	659
CMS Proposed Changes FY2009 Created: 16 Aug 2008	680
Alabama Top 5 Reasons for Claims Rejection June, 2008 Created: 16 Aug 2008	762
HFMA Improved Documentation Created: 16 Aug 2008	656
OIG Work Plan FY2008 Created: 16 Aug 2008	683
CDC ICD-9-CM Guidelines Created: 16 Aug 2008	704
Glossary for RCM and Compliance Created: 16 Aug 2008	645
Acronyms in Healthcare Created: 16 Aug 2008	683
CMS Medically Unlikely Edits Created: 16 Aug 2008	717
CMS Appeal of Claims Decision Created: 16 Aug 2008	685
CMS RAC Status Document Created: 16 Aug 2008	836
CMS Condition 44 Created: 16 Aug 2008	707
CMS 1997 Guidelines for E/M Created: 16 Aug 2008	814
CMS 1995 Guidelines for E/M Created: 16 Aug 2008	725
CMS E/M Services Guide Created: 16 Aug 2008	719
CMS Present on Admissions Fact Sheet Created: 16 Aug 2008	684
CMS Hospital Observation Status 3 of 3 Created: 16 Aug 2008	773
CMS Hospital Observation Status 2 of 3 Created: 16 Aug 2008	690
CMS Hospital Observation Status 1 of 3 Created: 16 Aug 2008	720

Login or Register

Quick Menu

Site Font Size: +A Reset -A

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

Go back