RESOURCES

• Coding Guidelines
• Forms
• Teaching Physician Rules
• Compliance Program Guidance
• Governmental & Regulatory Resources
  • DHHS
  • Federal Register
  • Fiscal Intermediary
  • CMS
  • OIG
• Professional Organizations
• Colleges & Universities
• Other
• Listserve

---

Coding Guidelines
Currently, providers may use either the 1997 or the 1995 E&M Documentation Guidelines, whichever is of greatest benefit to the provider.   A link to the guidelines is provided below. Official ICD-9-CM Guidelines for Coding & Reporting
1995 and 1997  E/M Guidelines

---

Forms - Coding Tool
Evaluation & Management (E&M) Services Coding Tool

---

Teaching Physician Rules
There are special rules to follow for documenting services provided by residents under the direction of teaching physicians.  These rules can be viewed by clicking the links provided below. CMS Carrier Manual Instructions Medicare Final Rule for Teaching Physicians   

---

Compliance Program Guidance The OIG Compliance Program Guidance for Individual & Small Group Physician Practices
The OIG Compliance Guidance for Third Party Billers
Back to top

---

Governmental & Regulatory Resources Agency for Healthcare Research and Quality
Department of Justice - Health Care Fraud Report
List of Excluded Individuals and Entities
Fee Schedule Administration and Coding Requirements
National Committee on Vital and Health Statistics
Thomas legislative information on the Internet

DHHS
Department of Health and Human Services Data Council
DHHS

Federal Register
Federal Register via GPO Access
Federal Register via NARA

CMS
CMS - Homepage
CMS - Hospital Outpatient Prospective Payment System
CMS - Medlearn Matters
CMS - Oasis
CMS - Physician Information Resource
CMS - Skilled Nursing Facility PPS
CMS - Medicare and Medicaid schedule of program transmittals and memos
CMS - Medicare Administrative Contractors

OIG
OIG - Home page
OIG - Work Plan

Back to top

---

Professional Organizations AAFP: American Academy of Family Physicians
AAPA: American Academy of Physician Assistants
AANAC: American Association of Nurse Assessment Coordinators
AAOHN: American Association of Occupational Health Nurses
AAPC: American Academy of Professional Coders
AACC: American Association for Clinical Chemistry
ACEP: American College of Emergency Physician
ACR: American College of Radiology
AHCA: American Health Care Association
AHIMA: American Health Information Management Association
American Health Lawyers Association
AHA: American Hospital Association
AMA: American Medical Association
ANA: American Nurses Association
APA: American Psychiatric Association
APA: American Psychological Association
APHA: American Public Health Association
ASA: American Society of Anesthesiologists
ASCP: American Society for Clinical Pathology
AAMC: Association of American Medical Colleges
AWHONN: Association of Women's Health, Obstetric and Neonatal Nurses
CAP: College of American Pathologists
HBMA: Healthcare Billing & Management Association
HCCA: Health Care Compliance Association
JCAHO
MGMA: Medical Group Management Association
National Association for Home Care
National Center for Assisted Living
Radiology Society of North America
SIR: Society of Interventional Radiology

Back to top

---

Colleges & Universities Medical College of Wisconsin Compliance Office
University of Florida College of Medicine Office of Compliance
Washburn University School of Law
UTHSC Houston Office of Institutional Compliance
UT Southwestern Office of Billing Compliance
UT Health Center at Tyler
UTMB Office of Institutional Compliance
UCSF Compliance Program

---

Other Anesthesia Web
Clinical Laboratory News
Emergency Nursing World
Freechart.Com
MEDSCAPE
Modern Healthcare
Taxpayers Against Fraud

Back to top

---

Listserve NIH Listserv
http://list.nih.gov/ - You can search for lists at this site.
Trailblazer Health Subscriptions