Manage My Practice

Publications For Your Medicare Beneficiaries
New! The Medicare Learning Network (MLN) has released a new product titled Publications For Your Medicare Beneficiaries. This factsheet lists a variety of beneficiary-related publications available to assist providers in responding to patients questions related to Medicare, all of which can be printed and provided to patients. This product is available in downloadable format here. Check it out – links to more than 70 different publications!

The 2007 Physician Quality Reporting Initiative
New! Anew Medicare Learning Network publication titled The 2007 Physician Quality Reporting Initiative (PQRI) (November 2010) is now available in downloadable format here. This booklet is a compilation of CMSs various educational resources relevant to the 2007 Physician Quality Reporting Initiative.

Guidelines for Teaching Physicians, Interns, and Residents
The Guidelines for Teaching Physicians, Interns, and Residents (revised December 2010) is now available in downloadable format here. This factsheet provides information about payment for physician services in teaching settings, general documentation guidelines, and evaluation and management documentation guidelines.

HIPAA EDI Standards Web-Based Training
The Medicare Learning Network is now offering therevised HIPAA EDI Standards web-based training (revised January 2011) for CE credit. The goal of this activity is to provide information to physicians, suppliers, and healthcare professionals regarding electronic billing and other healthcare electronic transactions such as the Administrative Simplification provisions of HIPAA, electronic transaction standards and code sets required by HIPAA, and an overview of the steps involved in the Medicare electronic data interchange process. To take this training, go here and click on Web-Based Training Modules under Related Links Inside CMS. There are 15 other web-based training classes available on the same site.

Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers and Billers
The publication titled Understanding the Remittance Advice: A Guide forMedicare Providers, Physicians, Suppliers and Billers (revised October 2010) is designed to educate institutional and professional providers who bill Medicare with general remittance advice (RA) information. It includes instructions to help you interpret the RA received from Medicare and reconcile it against submitted claims and provides guidance on how to read Electronic Remittance Advices (ERAs) and Standard Paper Remittance Advices (SPRs), as well as information on balancing an RA. This publication may be downloaded here. If you are training an employee to be a biller or post payments, or if you want to understand more about your billing yourself, this is an excellent resource.

Evaluation and Management Services Guide
The publicationtitled Evaluation and Management Services Guide(revisedDecember 2010) is now available in downloadable format from the Medicare Learning Network here. This guideis designed to provide education on medical record documentation and evaluation and management billing and coding considerations. The 1995 Documentation Guidelines for Evaluation and Management Services and the 1997 Documentation Guidelines for Evaluation and Management Services are included in this publication. This is another great resource that you can use to train staff, physicians, and other providers, or to get up to speed yourself if E & M codes are not part of your education or experience.

Image Credits:

Dancing Seniors: Image by StevenM_61 via Flickr

Money Rainbow: Image by TW Collins via Flickr

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