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Archived Documents Library

Alphabetical List of Archived Documents

Click on a title to go to the document article, with download links if appropriate.

Accountable Care Organizations Workshop (October 5 2011)

Alabama Top 5 Reasons for Claims Rejection June, 2008

American Recovery and Reinvestment Act of 2009

CBO Director Testimony before Senate Finance Committee, Feb 25, 2009

CIA between OIG and The Christ Hospital in Cinncinnati, Ohio

Clinical Review Judgement - Resources

CMS Data Files for IRFs (2018 and prior)

CMS Information Related to HIT

CMS Inpatient Only List CY2009

CMS Inpatient Only List CY2011

CMS Inpatient Only List CY2012

CMS Inpatient Only List CY2010

CMS Inpatient Only List CY2013

CMS Inpatient Only List CY2014

CMS Inpatient Only List CY2015

CMS Inpatient Only List CY2016

Condition Code 44, "Inpatient Admission Changed to Outpatient" (September 10, 2004)

Condition Code 44, "Inpatient Admission Changed to Outpatient" October, 2009

CPT© Coding Cardiac Caths in 2011 - HA151-A, HA151-D, HA151-M, LB100-A, LB100-M, LB100-D

CPT© Coding Chemotherapy-- HA109-A, HA109-D, HA109-M, LB100-A, LB100-M, LB100-D

CPT© Coding E&M Consultations vs. Transfer of Care -- HP202-A, HP202-D, HP202-M, LB100-A, LB100-M, LB100-D

CPT© Coding Fracture Care -- HA127-A, HA127-D, HA127-M, LB100-A, LB100-M, LB100-D

CPT© Coding Introduction to CPT©-4 -- HG602-A, HG602-D, HG602-M, LB100-A, LB100-M, LB100-D

CPT© Coding Modifier Vulnerabilities -- HA154-A, HA154-D, HA154-M, LB100-A, LB100-M, LB100-D

CPT© Coding Oncology Basics -- HA116-A, HA116-D, HA116-M, LB100-A, LB100-M, LB100-D

CPT© Coding Pathology & Lab Services -- HA138-A, HA138-D, HA138-M, LB100-A, LB100-M, LB100-D

CPT© Coding Radiation Oncology - HA117-A, HA117-D, HA117-M, LB100-A, LB100-M, LB100-D

CPT© Coding Surgery (Historical) -- HA122-A, HA122-D, HA122-M, LB100-A, LB100-M, LB100-D

FY2016 Proposed Rule: Discharge Planning (Hospitals, CAH, HHA)

Georgia Top 5 Reasons for Claim Rejections June 2008

Health IT Certification 2015

Health IT under ARRA

HIPAA 2009

Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Updates on Payment Reform 2014 Final Rule

Hospital Inpatient Admission Order and Certification (CMS Letter to Providers dated September 5, 2013)

ICD-10 for Coders and Clinical Staff, Part 1 -- HA112-A, HA112-D, HA112-M, LB100-A, LB100-M, LB100-D

ICD-9 Ancillary Coding: Labs, Radiology & Other Tests -- HB412-A, HB412-D, HB412-M, LB100-A, LB100-M, LB100-D

ICD-9 Coding & Documentation of Sepsis -- HF325-A, HF325-D, HF325-M, LB100-A, LB100-M, LB100-D

ICD-9-CM Guidelines (CDC)

ICD9 Rehab Codes Added to the CC List for FY2012

Improper Payments Elimination and Recovery Act of 2010 - Resources

IP Coding Discharge Status -- HF342-A, HF342-D, HF342-M, LB100-A, LB100-M, LB100-D

IP Coding for the IRF-PAI & UB-04 -- HG308-A, HG308-D, HG308-M, LB100-A, LB100-M, LB100-D, IRF14-A

IPF PPS Rate Year 2012 (July 2011 Update)

IPPS and LTCH Proposed Rule FY2017

IPPS Final Rule FY2011

IPPS Final Rule FY2012

IPPS Final Rule FY2013

IPPS Final Rule FY2014

IPPS Final Rule FY2015

IPPS Final Rule FY2016

IPPS Final Rule FY2017

IPPS for Acute Care Hospitals, LTCH PPPS Changes CMS Final Rule FY2011

IPPS Proposed Rule FY2015

IRF PPS Final Rule FY2014

IRF PPS Final Rule FY2016

IRF PPS Proposed Rule FY2017

Limitation on Recoupment of Overpayments, CMS Final Rule (09/16/2009)

Meaningful Use - Stage 3

Meaningful Use of EHR - Resources

Medicaid Improper Payment Error Rate 2011

Medical Loss Ratio Correction 2014 Final Rule

Medicare Advantage (Part C) Improper Payment Error Rate 2011

Medicare Part D Improper Payment Error Rate 2011

Medicare Payment Advisory Commission Report to Congress March, 2011

Medicare Premiums And Deductibles For 2012

Medicare Savings Report (2011)

Mississippi Top 5 Reasons for Claim Rejection June 2008

MLN Article (May, 2011) July 2011 Update of the Hospital OPPS

Non-Random Prepayment Complex Medical Review, CMS Final Rule Effective 1/1/09

Notice of Final Payment Error Calculation Methodology for Part C Medicare Advantage Risk Adjustment Data Validation (RADV) Contract-Level Audits (2012)

OIG Open Letter 4/15/2008

OIG-OAS Reports Archive: FY2011, FY2010, FY2009 Audit Reports

OP Coding, ICD-9 Diagnosis, Part 1 (Historical) -- HG607-A, HG607-D, HG607-M, LB100-A, LB100-M, LB100-D

OP Coding, ICD-9 Diagnosis, Part 2 (Historical) -- HG608-A, HG608-D, HG608-M, LB100-A, LB100-M, LB100-D

OPPS and ASC Final Rule for CY 2014

OPPS Proposed Rule 2014

OPPS Proposed Rule 2015

OPPS Proposed Rule 2016

OPPS Proposed Rule CY2017

Original Medicare Improper Payment Error Rate 2011

Patient Protection and Affordable Care Act

Payment Changes for Medicare Home Health Services 2011

Physician Fee Schedule 2015

Physician Fee Schedule 2016

Physician Services Payment & Policy Changes in 2010

Proposed Rule: Stage 2 Meaningful Use Requirements

RAC Focus: Claims Review Targets -- HF338-A, HF338-D, HF338-M, LB100-A, LB100-M, LB100-D

RAC Focus: Coding & Documentation of CHF -- HF322-A, HF322-D, HF322-M, LB100-A, LB100-M, LB100-D

RAC Focus: Coding & Documentation of Pneumonia -- HF324-A, HF324-D, HF324-M, LB100-A, LB100-M, LB100-D

RAC Focus: Coding & Documentation of UTI -- HF326-A, HF326-D, HF326-M, LB100-A, LB100-M, LB100-D

RAC Focus: Colonoscopies and EGDs -- HA115-A, HA115-D, HA115-M, LB100-A, LB100-M, LB100-D

RAC Focus: Documentation Hot Spots (Historical) -- HF313-A, HF313-D, HF313-M, LB100-A, LB100-M, LB100-D

RAC Focus: Drugs & Biologicals -- HA121-A, HA121-D, HA121-M , LB100-A, LB100-M, LB100-D

RAC Focus: IP DRGs for Skin Procedures -- HF341-A, HF341-D, HF341-M, LB100-A, LB100-M, LB100-D

RAC Focus: IP Rehab (Historical) - HF315-A, HF315-D, HF315-M, LB100-A, LB100-M, LB100-D, IRF14-A

RAC Focus: Medically Unlikely Edits (MUEs) --HA113-A, HA113-D, HA113-M, LB100-A, LB100-M, LB100-D

RAC Focus: MSDRG Validation (Historical) -- HA135-A, HA135-D, HA135-M, LB100-A, LB100-M, LB100-D

RAC Focus: OP Rehab Therapies (OT, PT, SLP) -- HA119-A, HA119-D, HA119-M, LB100-A, LB100-M, LB100-D

RAC Focus: Principal Diagnosis -- HF310-A, HF310-D, HF310-M, LB100-A, LB100-M, LB100-D

RAC Focus: RAC Appeals Process -- HA128-A, HA128-D, HA128-M, LB100-A, LB100-M, LB100-D

RAC Focus: Secondary Diagnosis (Historical) -- HF311-A, HF311-D, HF311-M, LB100-A, LB100-M, LB100-D

RAC Focus: Statement of Work (Historical) -- HA126-A, HA126-D, HA126-M, LB100-A, LB100-M, LB100-D

RAC Program Results (June, 2011)

RAC Statement of Work (SOW, updated 11/07/2007)

RAC Statement of Work (SOW, updated 9/01/2011)

Report on Fraud Prevention by HHS/DOJ 2009

Reporting Hospital Quality Data for FY2011

SNF PPS and Consolidated Billing 2014 Final Rule

SNF Proposed Rule FY2017

Summary Judgement: U.S. v. Sulzbach, S.D. Fla., April 16, 2010

Testimony of Daniel Levinson, July 28, 2011

The Affordable Care Act - Resources

The Role of Documentation -- HF312-A, HF312-D, HF312-M, LB100-A, LB100-M, LB100-D

Transcript: 11-13-08 CMS Open Door Conference Call for Part B Providers

WellCare Health Plan Whistleblower FCA Case - Resources

White House Budget Plan Outline for FY2010

End of List

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