Stay up to date with the latest federal coding guidance, compliance updates, and regulatory changes. We've curated essential links and insights to help you stay compliant, informed, and ahead of the curve.
Resources
NCCI Lookup Tool
Quickly identify edits, modifier indicators, and bundling rules to ensure accurate coding and reduce denials.
Use this resource to dheck whether two CPT or HCPCS codes can be reported together.
MLN Articles
The Medicare Learning
Network (MLN) provides official education materials and updates from CMS on billing, coding, and documentation guidelines. Use MLN Matters to verify coding rule changes, especially for quarterly updates or NCD/LCD guidance.
Medicare Claims Processing Manual
The official CMS manual that outlines billing requirements, coding guidance, and reimbursement policies for Medicare services.
Use this resource to navigate complex billing scenarios, understand benefit policies by provider type, and ensure accurate claims submission.
OIG Work Plan
The OIG Work Plan outlines
current audits, evaluations, and enforcement priorities for federal healthcare programs.
PRO TÍP: Check this quarterly to stay ahead of potential audit targets. It's also a great resource for internal audit planning.