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Alphabetical List of Documents

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1995 Guidelines for E/M (CMS)

1997 Guidelines for E&M (CMS)

2023 Home Health Prospective Payment System Rate Update

A Push Toward Perfection (Book)

Accountable Care Organizations under the Medicare Shared Savings Program

Acronyms in Healthcare

Acronyms in the Inpatient Rehab Setting

Adverse Events in Rehabilitation Hospitals for Medicare Benficiaries (July 2016)

AHA Claim Level Tracking Tool

AHA RACTrac Reports

Ambulance Services Guidance

AQ-IQ Blog

Auto Denial of Claims Submitted With a GZ Modifier

Biosimilar Action Plan (BAP)

Breach Notification for Unsecured Protected Health Information

Clarification of Patient Discharge Status Codes and Hospital Transfer Policies

CMS Appeal of Claims Decision

CMS Beneficiary Notices

CMS Data Element Library

CMS Drug Dashboards

CMS Hospital Observation Status

CMS Inpatient Only List CY2017

CMS Inpatient Only List CY2018

CMS Inpatient Only List CY2019

CMS Inpatient Only List CY2020

CMS Inpatient Only List CY2021

CMS Inpatient Only List CY2022

CMS Inpatient Only List CY2024

CMS Inpatient Only List CY2025

CMS Medicare Benefits Policy Manual

CMS Medicare Claims Processing Manual

CMS Medicare Financial Management Manual

CMS Medicare Internet-Only Manuals

CMS Medicare Program Integrity Manual

CMS Recovery Audit Program Updates

CMS Reminds Providers of IRS Federal Payment Levy Program

CMS Report: Affordable Care Act Update: Implementing Medicare Cost Savings

CMS Transmittal 361: Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews

CMS Transmittal 796: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services

CMS Transmittals Index, 2004 - 2020

CMS Use of Medicare Fee-for-Service Error Rate Data To Identify and Focus on Error-Prone Providers

CMS Voluntary Self-Referral Disclosure Protocol

CMS-HINN_12

Compendium of Unimplemented OIG Recommendations

Compliance Education from OIG

Compliance Program Guidance For Medicare Fee-For-Service Contractors

Condition 44 (CMS)

Condition Code 44 and Observation: CMS FAQs

Condition Code W2

COVID Vaccines and MMA COVID-19 Infusion Program

COVID-19 FAQs from CMS

COVID-19 New Codes, July 2022

COVID-19 New ICD-10-CM Code

CY2021 ESRD Proposed Rule

CY2021 Home Health Proposed Rule

CY2021 Physician Fee Schedule Proposed Rule

E/M Services Guide (CMS)

Ebola Information from CDC

Effective Compliance Program defined by Federal Sentencing Commission

EHR Attestation Resources from CMS

Electronic Submission of Medical Documentation (esMD)

ESRD and DMEPOS CY 2020 Proposed Rule

ESRD PPS FY2019

Expansion of IPPS Transfer Policy to Include Critical Access Hospitals (CAHs) and Non-Participating Hospitals

Final Rule: Home Health Care Conditions of Participation (July, 2017)

Final Rule: Physician Fee Schedule CY2017 and Medicare Parts B, and D

FTC Final Breach Notification Form

FTC Press Release: Extended Deadline for Enforcement of Red Flags Rule

FTC Red Flags Rule: Resources and Information

FY2018 IRF Final Rule

GAO Report on Medicare Physician Payments - GAO-09-647

Glossary for RCM and Compliance

Guidance on Hospital Inpatient Admission Decisions

Healthcare Fraud and Abuse Control Program Annual Report

HIPAA OCR Guidance

Home Health PPS Proposed Rule CY2019 and CY2020

Hospital Acquired Conditions

Hospital Compare Website

Hospital Outpatient, Ambulatory Surgical Center Payment Systems Proposed Rule FY2018

Hospital Outpatient, Ambulatory Surgical Center Rates

ICD-10

ICD-10-PCS FY2021

Incident To Guidelines

Inpatient Rehabilitation Facility (IRF) Compare Website

Interactive Map with Medicaid Fraud Control Units' Statistical Data

IPPS and LTCH Final Rule FY2018

IPPS and LTCH Final Rule FY2019

IPPS and LTCH Final Rule FY2023, CAH Conditions of Participation

IPPS and LTCH Proposed Rule FY2018

IPPS and LTCH Proposed Rule FY2019

IPPS and LTCH Proposed Rule FY2020

IPPS and LTCH Proposed Rule FY2021

IPPS and LTCH Proposed Rule FY2023

IPPS and LTCHs Review and Measurement Fact Sheet

IPPS Final Rule FY 2023

IPPS Final Rule FY2017

IRF Data Files from CMS (2018 and prior)

IRF Data Files from CMS (2020 and 2019)

IRF Data Files from CMS (FY2021)

IRF Data Files FY2023

IRF Data Files FY2024

IRF Data Files FY2025

IRF Data Files FY2026

IRF Final Rule FY2023

IRF Grouper Update COVID-19 U07.1 added as Tier 3

IRF PPS Final Rule FY2017

IRF PPS Final Rule FY2019

IRF PPS Final Rule FY2021

IRF PPS Final Rule FY2022

IRF PPS Proposed Rule FY2018

IRF PPS Proposed Rule FY2019

IRF PPS Proposed Rule FY2020

IRF PPS Proposed Rule FY2022

IRF PPS Proposed Rule FY2023

IRF Quality Improvement Program

IRF-PAI Manual

June, 2022, New Codes for COVID-19: Pfizer-BioNTech Vaccines for Children as Young as 6 Months

Long COVID Reporting

March 2022 New COVID Codes

Medicaid and CHIP Scorecard

Medicaid Program Integrity Initiatives

Medically Unlikely Edits (CMS)

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Medicare Appeals Council Decision: Part B Payable in Part A Denial

Medicare Health and Drug Plans Payment Updates for FY2018

Medicare National Coverage Determinations Manual

Medicare Payment Basics Documents

Medicare Place of Service Codes

Medicare Shared Savings Program

Medicare SNF Manual CR 2362

MLN Matters Articles Index, FY2004 - FY2019

Modification to Accommodate the Acute Care Episode (ACE) Demonstration

Modifier -33 Article

Modifier -59 - Will “X” Mark the Spot?

Modifier -59 Article

Modifier CR and DR during COVID-19

MUE Frequently Asked Questions at CMS

NCCI Resources

Never List (HAC)

New 1500 Claim Form Released

New York Hospitals: Hospital Inpatient DRGs, SIWs, Trimpoints, ALOS

Observation Status Rules

OIG Exclusions Program Resources

OIG Health Care Provider Compliance Videos

OIG Physician Roadmap

OIG Podcasts

OIG Work Plan 2017

OPPS Final Rule 2018

OPPS Final Rule CY2017

OPPS Final Rule CY2020

OPPS Proposed Rule CY2020

OPPS Proposed Rule CY2021

OPPS Proposed Rule FY 2023

Part B Services That May Be Payable If Part A Claim Denied

Physician Fee Schedule 2017

Physician Fee Schedule 2018

Physician Fee Schedule 2020

Physician Fee Schedule and Quality Payment Program CY2020 Proposed Rule

Physician Fee Schedule CY2019 Proposed Rule

Physician Fee Schedule CY2022

Present on Admissions (POA) Fact Sheet (CMS) and Exempt Lists

Prevalence and Qualifications of Non-Physicians Who Performed Medicare Physician Services

Proposed Rule Conditions of Participation (CoPs) for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates

Proposed Rule Medicaid Provider Reassignment

QA on ED Revenue Risk from "Finally Friday"

RAC Appeals Process Resources

RAC Demand Letter SAMPLE

RAC Point of Contact

Recovery Audit Contractors' Fraud Referrals (OEI-03-09-00130; 02/10)

Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPSs)

Revision of Performance Standards for State Medicaid Fraud Control Units

Rural Emergency Hospitals and Critical Access Hospital Conditions of Participation Updates

Screening and Diagnostic Mammography

Senate Finance Committee: Three Papers for Healthcare Reform

Skilled Healthcare Group Class Action Lawsuit - Resources

SNF PPS Final Rule FY2017

Spooner Health System Private Page

State Medicaid Agencies Provider Directory

State Medicaid RACs

The 2-Midnight Rule FAQs

Using a Scribe for Physician Documentation

White Paper: Colonoscopies and EGDs

End of List

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