Quality Coding on a Shoestring Budget, aka Surfing for Success Websites
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1 Quality Coding on a Shoestring Budget, aka Surfing for Success Websites Resources for Coders: Search Engines: ehub.com/home/tabid/36/default.aspx Medical Encyclopedias & Dictionaries: assn.org/ama/pub/category/7140.html dictionary.thefreedictionary.com/ Code Books: CPT assn.org/catalog/cpt/cpt_search.jsp?_requestid= assn.org/ama/pub/category/3113.html CPT Assistant: assn.org/catalog/product/product_detail.jsp?productid=prod170136?checkxwho=done Code Books: ICD- 9- CM American Hospital Association, Central Office on ICD- 9- CM Publisher of AHA Coding Clinic for ICD- 9- CM Publisher of Faye Brown s ICD- 9- CM Coding Handbook
2 Code Books: HCPCS E/M Documentation Guidelines: Be sure to print out the Evaluation & Management Services Guide. ICD- 9- CM Official Guidelines for Coding and Reporting: Four Cooperating Parties for ICD- 9- CM: American Hospital Association (AHA) American Health Information Management Association (AHIMA) Centers for Medicare and Medicaid Services (CMS) National Center for Health Statistics (NCHS) MPFSDB Medicare Physician Fee Schedule Database: Click on PFS Relative Value Files Scroll down to bottom of page Click on Last Choose RVU10C_PCT22 (click on left) Click on RVUPUF10.pdf and print out Click on PPRRVU10_U22.zip, click Accept and then Open Double- click on PPRRVU10_U22 to open For GPCIs, click on GPCI10V2.zip, click Accept and then Open Double- click on GPCI10V2 to open A/B MAC Jurisdictions Fact Sheet:
3 Palmetto GBA: Click on J1 Part B MAC CA, HI, NV Click Fee Schedules under Top Links Click on 2010 June Medicare Part B Fee Schedule Update: Hawaii National Coverage Determinations (NCDs): Click on Search Can search both NCDs and LCDs By document ID OR By geographic area & by key words in the title and/or CPT/HCPCS code Alphabetical Listing For LCDs: Local Coverage Determinations 2E By State Alphabetical Listing Correct Coding Initiative (CCI): Scroll down and print the Modifier - 59 Article Click on NCCI Policy Manual for Medicare Services Click open and print Intro & TOC 1 st, then selected chapters, then close and scroll back up Click on NCCI Edits Physicians Save selected chapters to your computer Both Column 1 & Column 2 and Mutually Exclusive Rename by quarter Physician Quality Reporting Initiative (PQRI): Pay for Performance (P4P): assn.org/ama/pub/advocacy/current- topics- advocacy/private- sector- advocacy/practice- data- ranking/pay- for- performance.shtml
4 Practice Administration Tools: assn.org/ama/pub/category/4555.html List Servs: CMS Coverage CMS Quarterly Provider Updates HIPAA Medigap News ICD- 10- CM Industry Updates 10_Industry_ _Updates.asp#TopOfPage HIPAA Compliance Plan: assn.org/ama/pub/category/4234.html OIG Compliance Program for Individual and Small Group Physician Practices: Compliance Guidance on OIG website: Compliance Resource Material on OIG website: OIG Annual Work Plan: Recovery Audit Contractor (RAC) Audits:
5 Regulatory & Compliance Issues: assn.org/ama/pub/physician- resources/legal- topics/regulatory- compliance- topics.shtml Health System Reform Resources: assn.org/ama/pub/health- system- reform/resources.shtml Contact your medical specialty society: assn.org/ama/pub/about- ama/our- people/the- federation- medicine/national- medical- specialty- society- websites.shtml Contact your insurance commissioner: Contact your elected officials:
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