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HomeDocuments & References

American College of Physician Advisors

Documents & References


Special thanks to Ronald Hirsch, MD, FACP, CHCQM-PHYADV for help in creating some of the content presented here.


2021 Inpatient Only Lists
CMS Memo to All Medicare Advantage Organizations re: Non-Contract Provider Access to Medicare Administrative Appeals Process (9/23/2020)
[ARCHIVED] 2020 Inpatient Only Lists
YouTube Videos
Document Templates Document Templates
DME and Home Care Forms DME and Home Care Forms
Comment to CMS re: 2021 OPPS Proposed Rule

EXTERNAL SOURCES FOR RAC & REGULATORY ISSUES

  1. Conditions of Participation
    http://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/index.html

  2. CMS Education and Interpretation: Medical Learning Network
    http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/index.html?redirect=/MLNMattersArticles

  3. RACmonitor is an online news and information source produced to help healthcare providers make informed decisions for their organizations on the activities of third party contract auditors, such as the Recovery Audit Contractors, and governmental auditors such as those with the Office of Inspector General within the Department of Health and Human Services (HHS).
    http://racmonitor.com

  4. ICD10monitor, a division of MedLearn Media, Inc., is an online news and information service created to help healthcare providers in all settings make informed decisions relative to coding, clinical documentation integrity (CDI), value-based purchasing and other new payment methodologies. ICD10monitor reports on current issues including population health, physician engagement and the patient experience.
    http://ICD10monitor.com