Health Care Resource Links

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Clinical Laboratory Information Local Medical Review Policies
Coding Managed Care
Compliance Associations Nursing
Compliance Programs Physicians
Compliance Specialists Rehabilitation and Therapy
Durable Medical Equipment Regional Carriers Reimbursement
Healthcare Law and Professionals Associations Specialty Nursing Associations
Home Health U. S. Government
Information Technology and Management Miscellaneous
Journals CCH® Contributors (Partnerships)

Clinical Laboratory Information back to top

Rush Presbyterian Medical Center

University of Iowa Virtual Hospital (medical information for patients and physicians)

Coding back to top

Compliance Associations back to top

Health Care Compliance Association

Compliance Programs back to top

AAMC Research Compliance Information

Baptist Health Center Corporate Compliance

Medical College of Wisconsin Compliance Office

Mercy Health System Corporate Compliance Program

University of Florida School of Medicine

University of Rochester Medical Center

Compliance Specialists back to top

Durable Medical Equipment Regional Carriers back to top

Region A Carrier, HealthNow NY

Region C Carrier, Palmetto Government Benefits Administrators

Region D Carrier, CIGNA Healthcare Medicare Administration

Healthcare Law and Professionals Associations back to top

American Association of Healthcare Adminstrative Management

American College of Healthcare Executives

American College of Physician Executives

American Health Lawyers Association

American Medical Association

American Medical Group Association

College of Healthcare Information Management Executives

Healthcare Financial Management Association

Medical Group Management Association

Professional Association of Health Care Office Managers

Home Health back to top

The National Association for Home Care

Information Technology and Management back to top

American Medical Informatics Association

Center for Healthcare Information Management

College of Healthcare Information Management Executives

Healthcare Information and Management Systems Society

Joint Healthcare Information Technology Alliance

Journals back to top

Journal of the American College of Surgeons

Journal of Thoracic Cardiology Surgery

The Lancet

New England Journal of Medicine

Local Medical Review Policies from Medicare Contractors back to top

CMS has directed intermediaries and carriers to develop payment policies for services that are not governed by national policy. These policies, previously called Local Medical Review Policies (LMRPs) are called Local Coverage Determinations(LCDs). LMRPs are developed with input from physicians and representatives of the provider and medical community. CMS has a monthly-updated web site that gathers policies from its contractors. For more frequent updates, as well as draft policies, consult the contractor web sites below directly. Some of these web addresses link directly to the medical policies of a contractor, others link to the contractor home page. If you link to a home page, look for Medical Policies under the Provider heading in the site map.

Adminastar Federal, Inc. (Part A–IL, IN, KY, OH; Part B–IN, KY; DME Region B)

BCBS of Alabama (CAHABA)

Anthem Health Plans of N.H. (Vermont and New Hampshire Part A)

Anthem Health Plans of Maine, Inc.

BCBS of Arizona, Inc

Arkansas BCBS

Anthem N.H. (Part A – Maine and Massachusetts; Home Health and Hospice – Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont)

COSVI, Cooperativa de Seguros de Vida de Puerto Rico, Medicare Part A -- Puerto Rico and Virgin Islands

CIGNA Healthcare Medicare Administration – Idaho, North Carolina, Tennessee – Part B

Empire Medicare Services  (Part A – Connecticut, Delaware, Massachusetts, and New York; Part B – New Jersey and New York)

First Coast Service Options, Inc. – Florida Part A and B

BCBS of Georgia, Inc.

Group Health (BCBS)

Health Now (Part B–upstate NY; DMERC Region A)

HGSA (Highmark Government Services Administrators) – Part B Pennsylvania

Highmark (Veritus Medicare Services (Pennsylvania))

BCBA AL (Cahaba); Part A (Iowa, South Dakota)

BCBS of Kansas, Inc.

BCBS MS - Part A (Louisiana, Missouri, Mississippi)

UGS (Maryland - Part A)

BCBS of Montana

Mutual of Omaha – Part A

Nebraska BCBS - Part A

Noridian Mutual Insurance Company (Part A – North Dakota, Minnesota, Washington State, Alaska; Part B Alaska, Arizona, Colorado, Hawaii, Iowa, Nevada, North Dakota, Oregon, South Dakota, Washington, and Wyoming)

Palmetto Government Benefits Administrators (Home health and hospice services for facilities; Part A intermediary for SC; DME carrier for Region C)

Regence Group Provider Medicare Site

Riverbend Government Benefits Administrator (Part A – Tennessee and New Jersey; Rural Health Clinics–nationwide; SNF – national chain)

TrailBlazer Health Enterprises, LLC. (Part A – Colorado, New Mexico and Texas;
Part B – District of Columbia metropolitan area, Delaware,
Maryland, Texas and Virginia)

Triple-S-Medicare Part B (Puerto Rico, Virgin Islands)

TriSpan Health Services (Part A – Louisiana, Mississippi, and Missouri)

Veritus Medicare Services (Pennsylvania)

Wyoming Medicare BlueCross and BlueShield

Managed Care back to top

American Accreditation HealthCare/Commission

American Association of Managed Care Nurses

American Board in Managed Care Medicine

National Managed Health Care Congress

Nursing back to top

The American Association of College of Nursing

The American Association of Legal Nurse Consultants

The American Academy of Nurse Practitioners

The American College of Nurse-Midwives

The American College of Nurse Practitioners

The National Certification Board of Pediatric Nurse Practitioners and Nurses

Allnurses.com

Physicians back to top

American Association of Medical Assistants

American Academy of Physician Assistants

American Association of Public Health Physicians

Rehabilitation and Therapy back to top

The Rehabilitation Accreditation Commission

Reimbursement back to top

American Association of Medical Billers

American Billing Association

Bibliography on Medicare Reimbursement for Advanced Practice Nurses

Coding and Reimbursement Network

Healthcare Billing and Management Association

Specialty Nursing Associations back to top

Specialty Nursing Practice 

Bibliography on Medicare Reimbursement for Advanced Practice Nurses

U. S. Government back to top

Approved Drug Products with Therapeutic Equivalence Evaluations (The Orange Book)

Centers for Disease Control and Prevention

U.S. Department of Agriculture, Food Safety and Inspection Service

Department of Health and Human Services Home Page

Environmental Protection Agency (EPA)

Food & Drug Administration (FDA)

FDA Dockets Management

General Accounting Office

Health Care Financing Administration

Intermediary-Carrier Directory

International Conference on Harmonization

Joint Commission on Accreditation of Healthcare Organizations

Local Medicare Review Policies (CMS)

Medical Devices-Recognized Consensus Standards

National Food Safety Initiatives

National Institutes of Health

Medicare Payment Advisory Commission

National Committee for Quality Assurance

National Committee on Vital and Health Statistics

OASIS Outcome and Assessment Information Set

Provider Reimbursement Review Board

Social Security Administration

TRICARE (CHAMPUS) Information Site

Miscellaneous back to top

National Council for Prescription Drug Programs

National Practitioner Data Bank/Healthcare Integrity and Protection Data Bank

Search Engine for Part B Providers

CCH® Contributors (partnerships) back to top

HFMA

Ernst & Young

Murer Consultants

CCH® ChargeMaster Comply™

Hands on Calculator

Automating your Hospital ChargeMaster

CCH® ChargeMaster Comply™ is an internet-based hospital assistant for maintaining a Charge Description Master.

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Journal of Health Care Compliance

Protect your organization with the Journal of Health Care Compliance, your first practical source of information on how to avoid government inquiries.

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