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Government Sites and Resources

CCI

The Medicare Correct Coding Initiative automated edits are online at

( http://www.cms.hhs.gov/NationalCorrectCodInitEd/ )
CMS

Coverage of the Centers for Medicare and Medicaid Services: Medicare, Medicaid, SCHIP, HI...

( http://www.cms.hhs.gov )
Medicare Learning Network:

( http://www.cms.hhs.gov/MLNGenInfo )
Online Medicare manuals:

( http://www.cms.hhs.gov/manuals/IOM )
Medicare Physician Fee Schedule:

( http://www.cms.hhs.gov/FeeScheduleGenInfo )
Conditions of Participation:

( http://www.cms.hhs.gov/CFCsandCOPs )
HCPCS

General information on HCPCS

( http://www.cms.hhs.gov/MedHCPCSGenInfo )
Annual alphanumeric Healthcare Common Procedure Coding System file

( http://www.cms.hhs.gov/HCPCSReleaseCodeSets )
HIPAA

Home page

( http://www.cms.hhs.gov/hipaageninfo )
Questions and Answers on HIPAA Privacy Policies

( http://www.hhs.gov/faq/ )
HIPAA Privacy Rule

"Standards for Privacy of Individually Identifiable Health Information; Final Rule." 45 C...

( http://www.hhs.gov/ocr/hipaa/finalreg.html )
ICD

NCHS (National Center for Health Statistics) posts the ICD-9-CM addenda and guidelines

( http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines )
WHO

The International Statistical Classification of Diseases and Related Health Problems, ten...

( http://www.who.int/whosis/icd10/ )
ICD-9-CM addenda

www.cms.hhs.gov/ICD9ProviderDiagnosticCodes

( http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes )
ICD-9-CM Official Guidelines for Coding and Reporting

www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm

( http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm )
NIH Listserv

The National Institute of Health (NIH) Listserv home page can be accessed to sign up for a variety of listservs, such as
  • HIPAA-OUTREACH-L: HHS HIPAA Administrative Simplification Info
  • HOSPITALODF-L: Hospital Open Door Forum
  • HOSPITALS-ACUTE-L: Medicare Acute Care provider information
  • MEDICAREGOV HOSPITAL: Hospital Quality Initiative


http://list.nih.gov/

( http://list.nih.gov/ )
NUBC

The National Uniform Billing Committee develops and maintains a standardized data set for...

( http://www.nubc.org )
NUCC

The National Uniform Claim Committee develops and maintains a standardized data set for u...

( http://www.nucc.org )
OCR

The Office of Civil Rights of the HHS enforces the HIPAA Privacy Rule; Privacy Fact Sheet...

( http://www.hhs.gov/ocr/hipaa )
OIG

The Office of Inspector General of the HHA home page links to fraud and abuse, advisory o...

( http://www.oig.hhs.gov )
Model compliance programs are found at

( http://oig.hhs.gov/fraud/complianceguidance.html )
TRICARE and CHAMPVA

General TRICARE information

( http://www.tricare.osd.mil )
CHAMPVA Overview

( http://www.military.com/benefits/veterans-health-care/champva-overview )
WPC

Washington Publishing Company is the link for HIPAA Transaction and Code Sets implementation guides. It also assists several organizations in the maintenance and distribution of HIPAA-related code lists that are external to the X12 family of standards:

  • Provider Taxonomy Codes
  • Claim Adjustment Reason Codes
  • Claim Status Codes
  • Claim Status Category Codes
  • Health Care Services Decision Reason Codes
  • Insurance Business Process Application Error Codes
  • Remittance Remark Codes



www.wpc-edi.com

( http://www.wpc-edi.com )
OWCP

The Office of Workers' Compensation Programs on the Department of Labor website provides ...

( http://www.dol.gov/esa/ )
Electronic Medical Records

AHIMA Coverage of Related Topics Located under HIM resources under the Practice Brief tab...

  • Maintaining a Legally Sound Health Record
  • The Legal Process and Electronic Health Records
  • Implementing Electronic Signatures
  • HIM Practice Transformation/EHR's Impact on HIM Functions
  • Core Data Sets for the Physician Practice Electronic Health Record


( http://www.ahima.org )
Computer-based Patient Record Institute (CPRI)

( http://www.cpri.org )
Medical Record Institute

( http://www.medrecinst.com )
Associations

AAFP American Academy of Family Physicians

( http://www.aafp.org )
AAHAM American Association of Healthcare Administrative Management

( http://www.aaham.org )
AAHP American Association of Health Plans

( http://www.aahp.org )
AAMA American Association of Medical Assistants

( http://www.aama-ntl.org )
AAPC American Academy of Professional Coders

( http://www.aapc.com )
ACA International (formerly American Collectors Association)

( http://www.acainternational.org )
ACHE American College of Healthcare Executives

( http://www.ache.org )
ACI American Compliance Institute

( http://www.aci-compliance.com )
AFEHCT Association for Health Care Transactions

( http://www.afehct.org )
AGPAM American Guild of Patient Account Managers

( http://www.agpam.org )
AHA American Hospital Association

( http://www.aha.org )
AHDI Association for Healthcare Documentation Integrity

( http://www.ahdionline.org )
AHIMA American Health Information Management Association

( http://www.ahima.org )
AHIP America's Health Plans

Links to Member Health Plans

( http://www.ahip.org )
AHLA American Health Lawyers Association

( http://www.healthlawyers.org )
AMA American Medical Association

( http://www.ama-assn.org )
AMB Association of Medical Billers

( http://www.ambanet.net/AMBA.htm )
American Hospital Directory

( http://www.ahd.com )
AMIA American Medical Informatics Association

( http://www.amia.org )
AMT American Medical Technologists

( http://www.amt1.com )
ANA American Nursing Association

( http://www.ana.org )
ANSI American National Standards Institute

( http://www.ansi.org )
BLS Bureau of Labor Statistics

( http://stats.bls.gov )
Bureau of National Affairs, Inc.

( http://www.bna.com )
CHIME College of Healthcare Information Management Executives

( http://www.cio-chime.org )
CLMA Clinical Laboratory Management Association

( http://www.clma.org )
HBMA Healthcare Billing and Management Association

( http://www.hbma.com )
HCCA Health Care Compliance Association

( http://www.hcca-info.org )
HFMA Healthcare Financial Management Association

( http://www.hfma.org )
Healthcare Intelligence Network

( http://www.hin.com )
Joint Commission

( http://www.jointcommission.org )
MGMA Medical Group Management Association

( http://www.mgma.org )
NCQA National Committee for Quality Assurance

( http://www.ncqa.org )
NCVHS National Committee on Vital and Health Statistics

( http://www.ncvhs.hhs.gov )
PAHCOM Professional Association of Health Care Office Management

( http://www.pahcom.com )
URAC American Accreditation HealthCare Commission

( http://www.urac.org )
Selected Coding Resources

Note that many commercial vendors of the annual coding books offer package prices for the year's CPT, ICD-9-CM, and HCPCS references. Professional organizations may also offer discounts.



American Academy of Professional Coders (AAPC)
309 West 700 South
Salt Lake City, UT 84101
800 626 CODE
Certification courses/examinations and coding-related publications
( http://www.aapc.com )
AHA Coding Clinic for ICD-9-CM
AHA Order Services
PO Box 92683
Chicago, IL 60675-2683
800 242 2626
Official Coding Guidelines for ICD-9-CM
( http://www.ahaonlinestore.com )
American Association of Health Information Management (AHIMA)
233 North Michigan Avenue, Suite 2150
Chicago, IL 60601-5800
312 233 1100
Certification courses/examinations and coding-related publications
( http://www.ahima.org )
AMA Press
PO Box 930884
Atlanta, GA 31193-0884
800 621 8335
Annual Editions of CPT, ICD, and HCPCS
www.ama-assn.org/ama/pub/category/3113.html
CPT Assistant and CPT Clinical Examples
( http://www.amapress.com )
The Coding Institute
2272 Airport Road South
Naples, FL 34112
800 508 2582
Coding resources in medical specialties; seminars
( http://www.codinginstitute.com )
Coding Strategies, Inc.
5401 Dallas Hwy, Suite 606
Powder Springs, GA 30132
877 6 CODING
Medical coding education and specialty publications
( http://www.codingstrategies.com )
Conomikes Reports, Inc.
12233 W. Olympic Blvd., Suite 116
Los Angeles, CA 90064
800 421 6512
Newsletters and handbooks
( http://www.conomikes.com )
hcPro
200 Hoods Lane
Marblehead, MA 01945
800 650 6787
Training materials and E-newsletters
( http://www.hcpro.com )
Ingenix, Inc.
St. Anthony Publishing/Medicode
2525 Lake Park Blvd.
Salt Lake City, UT 84120
800 INGENIX
Annual editions of ICD-9-CM, CPT, and HCPCS books; newsletters, and electronic reference manuals
( http://www.ingenix.com )
MMHSI/Coders Central
800 253 4945
Online resource for coding reference books
( http://www.coderscentral.com )
Medical Management Institute
11405 Old Roswell Road
Alpharetta, GA 30004
800 334 5725
Annual editions of ICD-9-CM, CPT, and HCPCS books; seminars
( http://www.CodingCourse.com )
NCHS

National Center for Health Statistics
3311 Toledo Road
Hyattsville, MD
301 458 4000
ICD-9-CM code set, addenda, and coding guidelines available for downloading
( http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines )
Practice Management Information Corp. (PMIC)
4727 Wilshire Boulevard
Los Angeles, CA 90010
800 MEDSHOP
Annual editions of CPT, ICD-9-CM, and HCPCS code books; publications on practice management and coding reimbursement
( http://pmiconline.stores.yahoo.net )
UCG/DecisionHealth
11300 Rockville Pike, Suite 1100
Rockville, MD 20852
301 287 2700
Newsletters, especially ICD-9/CPT Coding Pro and Specialty Coders' Pink Sheets; publications
( http://www.decisionhealth.com )
United States Government Printing Office

www.access.gpo.gov
Federal Register
( http://www.access.gpo.gov )
www.icd9coding.com
Online website for ICD and DRG codes
( http://www.icd9coding.com )







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