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Helpful Links
The following is a collection of links that our instructors find helpful in researching coding, billing, compliance and Medicare questions. Many of our students set this page as their homepage because it provides a convenient short cut to valuable research tools. For additional resources, don't miss the Resources Page. It contains specially selected educational tools and products from HCPro.
CMS Medicare Billing-Related Sites - General
Provider Center
Beneficiary Notice Initiative (Including ABN Forms)
CERT - Overview Page
Chart Series (CMS Statistics)
Clinical Diagnostic Laboratory Fee Schedule - Overview Page
Clinical Diagnostic Laboratory NCD Manual
Clinical Laboratory Improvement Amendments (CLIA)
Contact Information for CMS
Coverage Center (NCDs, NCAs, LMRPs/LCDs)
DME Center
Drug SAD (Self-Administered Drug) Exclusion List
Drug Coverage - General Information
Drug Coverage - MLN Products
Enrollment (Provider and Supplier) - Overview Page
Evaluation and Management Services Guide
Frequently Asked Questions Database
HHS Employee Directory
Hospital-Acquired Conditions (Present on Admission Indicator) - Overview Page
Intermediary-Carrier Map
Job Aids - Overview Page
Job Aids - 2008
Manuals - Internet Only Manuals
Manuals - Paper Based Manuals
Medically Unlikely Edits Information
Medicare Contractor Reform
Medicare Home Page (Including Payment Systems)
MLN Publications
MLN Matters Articles - Overview Page
MLN Matters Articles - 2008
National Provider Identifier (NPI) - Overview Page
National Provider Identifier (NPI) Enumerator Site
National Provider Identifier (NPI) Registry
Open Door Forums - Overview Page
Press Releases and Other Media Releases
Program Memoranda (Discontinued By CMS Effective October 1, 2003)
Quality Initiatives - General Information
Quarterly Provider Updates- Overview Page
Recovery Audit Contractors Demonstration
Regional Office List
Regulations and Guidance
SADMERC
Transmittals - Overview Page
Transmittals - 2008
CMS Medicare Billing-Related Sites - Hospital Specific
Hospital Center
Device-Related Procedure Edits
Diagnostic Radiopharmaceuticals Edits
Direct Graduate Medical Education (DGME) Information
Disproportionate Share Hospital (DSH) Information
Hospital Outpatient Prospective Payment System - Addendum A & B Updates
Hospital Outpatient Prospective Payment System - Overview Page
Hospital Outpatient Prospective Payment System - Pricer and Provider Specific Files
Hospital Outpatient Prospective Payment System - Regulations and Notices (including 2008 Final Rule)
Hospital Inpatient Prospective Payment System - Files for Download
Hospital Inpatient Prospective Payment System - Home Page
Hospital Inpatient Prospective Payment System - Pricer
Hospital Inpatient Prospective Payment System - Regulations and Notices (including 2008 Final Rule)
Hospital Quality Initiatives - Overview Page
National Correct Coding Initiative - Intermediary
Psychiatric Facility Inpatient Prospective Payment System
Quality Data Reporting Site (QNet)
Wage Index Files
CMS Medicare Billing-Related Sites - Physician/Practitioner Specific
Physician Center
Practice Administration Center
HPSA/PSA (Physician Bonuses) - Overview Page
National Correct Coding Initiative - Carrier
Physician Fee Schedule - Online Lookup
Physician Fee Schedule - Overview Page
Physician Fee Schedule - Relative Value Files
Physician Fee Schedule - Regulations
CMS Medicare Billing-Related Sites - Long Term Care Specific
SNF Center
MDS 2.0 Manuals and Forms
Nursing Home Quality Initiatives - Overview Page
SNF Consolidated Billing - Overview Page
SNF Regulations
SNF PPS - Overview Page
Railroad Medicare
Palmetto GBA Railroad Medicare Information
Railroad Retirement Board
OIG Sites
OIG Home Page
GPO (Government Printing Office) Access
GPO Access Home Page
Code of Federal Regulations (Federal Regulations)
CFR Title 42 - Electronic Version
CFR Title 42 - Official Version
Federal Register
United States Code (Federal Statutes)
HIPAA Transaction and Code Set Standards
National Uniform Billing Committee
WPC EDI Standards (To Access Implementation Guides for the Transaction Standards)
Listserv Subscriptions
CMS Email Update Lists - Subscriber's Main Page
GPO Listserv - Daily Federal Register (Join FEDREGTOC-L)
OIG Listserv - News Releases
Coding and Clinical Resources
AHA Coding Clinic for HCPCS Ordering Information
AHA Coding Clinic for ICD-9 Ordering Information
AHA/AHIMA Report to CMS on Proposed Facility E/M Coding System
American Academy of Professional Coders
American Health Information Management Association
American Hospital Association Central Office
"CPT Assistant" Ordering Information
CPT Manual Errata
HCPCS Data Files
ICD-9-CM CMS Home Page
ICD-9-CM Code Set Data Files
ICD-9-CM Official Guidelines (From National Center for Health Statistics)
Merck Manual Online
Pharmacology Math (Designed for nurses, but also helpful for coders)
Health Law Resources
American Health Lawyers Association
Medicare Fraud & Abuse Resource Reference
Miscellaneous
CERT Provider Website
National Technical Information Service (NTIS)
Secretary of DHHS Mike Leavitt's Blog
UPIN Registry/Lookup
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