Jackson Davis HealthCare
Stop Medicare Fraud & Abuse
(303) 586-5003

support@stopmedicarefraud.com
Your Subtitle text

The Healthcare Provider's #1 Medicare Compliance Resource
Medicare Audit & Compliance Tools - Medicare Appeals - CMS Program Integrity Resources


To report Medicare fraud, please contact the Office of Inspector General at (800) 447-8477 or HHSTips@oig.hhs.gov

2010 Medicare Audits & Medicare Appeals - Self-Audit Templates

Outstanding resource for both healthcare providers and health plans looking to enhance CMS billing, claim submission and documentation compliance.  The 2010 Medicare self-audit & Medicare appeals templates are perfect for use by internal auditors and compliance professionals when reviewing Medicare audit cases and considering the filing Medicare appeals.  These detailed, self-audit templates are now available for purchase by healthcare providers and health plans nationwide.

These Medicare self-audit templates are backed by over 10,000 CMS and CMS contractor documents and provide the nation's most comprehensive resource for the evaluation of Medicare audit focus areas and the preparation for CMS audits & CMS appeals.

The following is a sample of over 50 Medicare self-audit and Medicare appeals templates currently available for purchase:

        Chest Pain & Chest Pain Related Diagnoses (MS-DRG 312 & MS-DRG 313)
Extensive O.R. Procedures Unrelated to Primary Diagnosis
        IV Hydration & Therapy
Blood Transfusions
        Bronchoscopy
        Once in a Lifetime Procedures
        Neulasta J2505

        Surgical Procedures in Wrong Setting (PCI / ICD)
Home Health Visits
Inpatient Rehabilitation Facility Admissions
Respiratory Diagnosis Sequencing
        Excisional Debridement Documentation
ER Visits & Use of Modifier 25
Skilled Nursing Facility Admissions
Outpatient Physical Therapy Visits
Physician E&M and Procedure Visits
Rural Health Clinic Visits


Single and multi-facility pricing options are available.  Contact us today with any questions and to place your order.

For questions regarding CMS efforts to stop Medicare fraud & abuse, Medicare audits, Medicare appeals,
RAC audits, ZPIC audits, MIC audits, CMS auditing tools, CMS reference documentation, CMS PI Warehouse or other Medicare legal support services, please contact us directly at (303) 586-5003 or support@stopmedicarefraud.com.


2010 Medicare Audits & Medicare Appeals Guide - $495.00

Purchase the electronic version of the Guide today on flash drive for only $495.  The 2010 Medicare Audits & Medicare Appeals Guide is highlighted, sorted and organized by primary Medicare audit focus area.  With over 8,000 Medicare & Medicaid resource documents, the Guide includes the nation's most comprehensive resource of Medicare audit & Medicare appeals tools, policies, procedures, presentations, legislation & regulations.

The Guide is an invaluable resource for hospitals, physicians, inpatient rehabilitation facilities or virtually any healthcare provider facing Medicare audits & Medicare appeals - Medicare RAC audits, Medicare ZPIC audits, Medicare PSC audits or Medicare MAC audits.  There simply is no better resource to understanding and receiving insight to current CMS efforts to stop Medicare fraud & abuse!
 


Sample 2010 Medicare Audits & Medicare Appeals Guide Documents (includes over 8,000 CMS documents)
 
        CMS Audits & CMS Appeals Continuing Education Programs
CMS - Medicare Benefit Policy Manual
CMS - Medicare Claims Processing Manual
CMS - National Coverage Determinations
CMS - Local Coverage Determinations
CMS - Widespread, Targeted & Statewide Probes
CMS - UB-04 Billing Manuals
CMS - Charge Compression & Rate Structure Transmittals
CMS - Recovery Audit Contractor (RAC) Transmittals
CMS - RAC audit Focus Area Audit Tools & Methodologies
        CMS - Medicare Cost Report 
(audit tools, policies procedures & presentations)

        CMS - Appeals Process
        QIO - Medical Review
(audit tools, policies & procedures)

        QIO - Sample CMS Focus Area Clinical Documentation

Sample 2010 Medicare Audits & Medicare Appeals Focus Areas

        Extensive O.R. Procedures Unrelated to PDX
Short Stays - Chest Pain & GI Diagnoses
Respiratory Care Diagnoses with Ventilator MS-DRGs
Excisional Debridement Impacted MS-DRGs
PCI / Implantable Cardioverter Defibrillators (ICDs)
Inpatient Rehabilitation Facility Admissions
SNF Admissions & 3-Day Acute Stay Medical Necessity
Emergency Room Visits and Modifier 25
Physician Services - Evaluation & Management / Consults
Physical Therapy and Other Untimed Codes
Neulasta, Blood Transfusions, IV Hydration and many, many more....


Jackson Davis HealthCare (fomerly the Castle Rock Medical Group) experienced Medicare compliance professionals, CMS clinical documentation auditors and legal support staff unconditionally guarantees that the 2010 Medicare Audits & Medicare Appeals Guide is the nation's best electronic documentation resource.  There simply is no better resource for assessing critical CMS audit focus areas, evaluating & implementing CMS Payment Criteria, addressing potential Medicare fraud or abuse and preparing cost-effective, timely, comprehensive & defensible CMS appeals.

No upfront payment required.
  To place your order, call or e-mail us us at (303) 586-5003 or support@stopmedicarefraud.comWe will overnight the 2010 Medicare Audits & Medicare Appeals Guide to you the next business day and shipping is FREE!