This is a PDF version of President Obama’s new federal budget plan for FY2010, as published by the Office of Management and Budget, Feb. 26, 2009. Of special interest to healthcare providers: see p. 127, Table S-6. This table outlines how the federal government plans to change payments to the health care industry, thereby securing […]

This is a PDF Transcript of Douglas W. Elmendorf, Director of CBO, on Options for Expanding Health Insurance Coverage and Controlling Costs. Here are some sobering thoughts on efforts to cut health costs. Not only are health-care costs growing, but a lot of the ideas out there to cut them may not result in savings […]

CPT® 2009 Errata Document from the AMA website This is the AMA’s corrections document for CPT® 2009. It is 14 pages in PDF format. Download HERE.

Transcript of Conference Call with the RACs: Part B Providers from the Nov. 13, 2008 CMS Open Door Forum CMS hosted this Special Open Door Forum for Part B provider recovery audit contractors (RACs) on November 13, 2008. The attached document is a PDF format file containing the raw transcript of the call, as posted […]

This is the complete Work Plan for FY 2009. (115 pages) Click here  

OIG Open Letter This Open Letter discusses certain refinements and clarfications to OIG’s policies that we believe wil increase the efficiency of the SDP and benefit providers who self-disclose. Click to read the original letter dated April 15, 2008

CMS Final Rule on NRPCMR This Final Rule regards Termination of Non-Random Prepayment Complex Medical Review. A provider or supplier may be terminated from this program by these criteria. Published in Federal Register on Sep 26, 2008. These regulations are effective Jan 1, 2009. Click for the Federal Register publication

Audit trails show which of your claims were accepted by the Cahaba GBA Part B processing system, along with claims that were rejected and the reason for the rejection. Referring to this report will allow you to correct and resubmit claims quickly, resulting in a dramatically reduced turnaround time. You will also become aware of […]

Audit trails show which of your claims were accepted by the Cahaba GBA Part B processing system, along with claims that were rejected and the reason for the rejection.  Referring to this report will allow you to correct and resubmit claims quickly, resulting in a dramatically reduced turnaround time.  You will also become aware of […]