Federal

CMS - Centers for Medicare and Medicaid Services

CMS - Home

• Medicaid Home
• Medicare Home

CMS - Topic Specific Medicare Pages

• Advance Beneficiary Notice (ABN)
• Documentation Guidelines for E&M Services
• National and Local Coverage Decisions
• Medicare Learning Network (MLN)
• Provider Manuals - Internet Only Manuals (IOMs)

• Teaching Physician Services - Pages 156-177

CMS - Medicare Administrative Contractor - National Government Services (NGS)

• Medical Policy Center
• Medicare Part A Home for New York
• Medicare Part B Home for New York
• Medicare Bulletins - Medicare Monthly Review

Department of Justice (DOJ)

US Department of Justice

Western District of New York

Excluded Provider Screening

GSA - Government Services Administration: System for Award Management (SAM)

OIG - Office of Inspector General: List of Excluded Individuals/Entities (LEIE)

How to Use the Exclusions Database - an OIG Podcast

OIG - Office of Inspector General

OIG Home

Reports and Publications - includes audit reports, evaluations and inspections

Education for Physicians:

• A Roadmap for New Physicians
• Compliance Provider Training Videos part of the Health Care Fraud Prevention and Enforcement Action Team (HEAT) Provider Compliance Training initiative.

Fraud

Medicaid Integrity Reports

Compliance Program Guidances:

• Home Health
• Hospice
• Hospital
  • Supplemental - January 27, 2005
  • Original - February 23, 1998
• Individual and Small Group Physician Practices
• Laboratory
• Nursing Facilities
  • Supplemental - September 30, 2008
  • Original - March 16, 2000

What's New

Work Plan

STARK Legislation

STARK Law