Helpful Links

The following is a collection of links that our instructors find helpful in researching coding, billing, compliance and Medicare questions. Set this page as your homepage for a convenient short cut to valuable research tools!

HCPro Websites - web based libraries and resources will prepare you for current and future coding changes, provide CE credits keep your skills sharp.

Association for Clinical Documentation Improvement Specialists (ACDIS) -- The membership association especially for CDI professionals. Access industry experts and peers across the nation, and learn CDI resources for development including the CCDS credential for CDI professionals. - MDSCentral is the place to find all of the MDS 3.0 information and resources you need. Here, you'll find the latest news about the new assessment system, expert answers to your questions and tools for a smooth transition to the new system.

CMS Medicare Billing-Related Sites - General

Provider Center
Beneficiary Notice Initiative (Including ABN Forms)
Comprehensive Error Rate Testing Home Page (CERT) - Overview Page
Clinical Diagnostic Laboratory Fee Schedule - Overview Page
Clinical Diagnostic Laboratory NCD Manual
Clinical Laboratory Improvement Amendments (CLIA)
CMS Regulations and Guidance Page
Contact Information for CMS
Coverage Center (NCDs, NCAs, LMRPs/LCDs)
Coverage with Evidence Development (CED)
Departmental Appeals Board
DME Center
Drug SAD (Self-Administered Drug) Exclusion List
EHR Incentive Programs
End Stage Renal Disease (ESRD) Provider Center
Enrollment (Provider and Supplier) - Overview Page
esMD Electronic Submission of Medical Documentation
Frequently Asked Questions Database
Forms - CMS Downloads
HHS Employee Directory
Manuals - Internet Only Manuals
Manuals - Paper Based Manuals
Medically Unlikely Edits Information
Medicare Administrative Contractors (MAC) Jurisdictions
Medicare Contractor Interactive Map
Medicare Advantage Appeal Contractor
Medicare Advantage Out of Network Payment Guide
Medicare Advantage Payment Dispute Resolution Contractor
Medicare Home Page (Including Payment Systems)
Medicare Secondary Payer Recovery Contractor (MSPRC)
MLN Connects Provider ENews
MLN Publications
MLN Matters Articles - Overview Page
National Provider Identifier (NPI) - Overview Page
National Provider Identifier (NPI) Enumerator Site
National Provider Identifier (NPI) Registry
Newsroom Center, Press Releases and Fact Sheets
Office of Medicare Hearings and Appeals
Open Door Forums - Overview Page
Prescription Drug Coverage - General Information
Quality Initiatives - General Information
Quarterly Provider Updates- Overview Page
Recovery Audit Program
Regional Office List
Taxonomy Codes
Therapy Code List
Transmittals - Overview Page (including Program Memoranda)

CMS Medicare Billing-Related Sites - Hospital Specific

Advisory Panel on Hospital Outpatient Payment
APC Offset List
Device Category Codes
Device-Related Procedure Edits
Direct Graduate Medical Education (DGME) Information
Disproportionate Share Hospital (DSH) Information
Hospital-Acquired Conditions (Present on Admission Indicator) - Overview Page
Hospital Center
Hospital Inpatient Quality Reporting Program
Hospital Outpatient Quality Reporting Program
Inpatient Hospital Reviews
IPPS - FY2015 Final Rule Home Page
IPPS - Home Page
IPPS - Pricer
IPPS - Regulations and Notices
National Correct Coding Initiative (NCCI) - Hospital Outpatient PPS
OCE Specifications
OPPS - Addendum A&B
OPPS Home Page
OPPS - Pricer
OPPS - Regulations and Notices
PEPPER (Program for Evaluating Payment Patterns Electronic Reports)
Provider Number Look Up
Psychiatric Facility Inpatient Prospective Payment System
QualityNet Main Page
Revenue Code to Cost Center Crosswalk
Three Day Payment Window Information
Wage Index Files

CMS Medicare Billing-Related Sites - Physician/Practitioner Specific

Physician Center
Practice Administration Center
National Correct Coding Initiative - Carrier
Physician Bonus - HPSA
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 Manuals and Forms
Nursing Home Quality Initiatives - Overview Page
SNF Consolidated Billing - Overview Page
SNF Regulations
SNF PPS - Overview Page

CMS Medicare Billing-Related Sites - Rural Health Specific

Critical Access Hospitals (CAH) Center
Federally Qualified Health Centers (FQHC) Center
Rural Health Clinics (RHC) Center

CMS Medicare Billing-Related Sites – Ambulatory Surgery Center Specific

Ambulatory Surgery Center Payment Center
ASC Addenda Updates
ASC Regulations and Notices 

Railroad Medicare

Palmetto GBA Railroad Medicare Information
Railroad Retirement Board

OIG Sites

Health Care Fraud Prevention and Enforcement Action Team (HEAT)
OIG Home Page
Special Fraud Alerts, Bulletins and Guidance

Regulations and Statutes

CFR Title 42 - Electronic Version
Code of Federal Regulations (Federal Regulations Annual Edition)
Federal Register
GPO FDSys (Federal Digital System) Home Page
Open Congress
Social Security Act, Title 18 (Medicare)
United States Code (Federal Statutes)

HIPAA Transaction and Code Set Standards

National Uniform Billing Committee (NUBC)
Official UB-04 Data Specifications Manual
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)
NIH Listserv Homepage
Medicare Insider
OIG List Serv

Coding and Clinical Resources

2014 Practice Test for the AAPC CPC® Exam
AHA Coding Clinic for HCPCS Ordering Information
AHA Coding Clinic for ICD-9 Ordering Information
American Academy of Professional Coders
American Health Information Management Association
American Hospital Association Central Office
"CPT Assistant" Ordering Information
CPT Manual Errata
HCPCS Data File
HCPCS Quarterly Update
ICD-9-CM Addenda, Conversion Table, and Guidelines (From National Center for Health Statistics)
ICD-9-CM CMS Home Page
ICD-10 CMS Home Page
Merck Manual Online


National Technical Information Service (NTIS)
Revenue Cycle Institute

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