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Added line is this color Deleted line is this color <p><span style="FONT-SIZE: 14pt; COLOR: black"><strong>Innovator's Guide to Navigating CMS: </strong></span><span style= "FONT-SIZE: 10pt; COLOR: black"><a href= "http://www.cms.hhs.gov/CouncilonTechInnov/Downloads/InnovatorsGuide8_25_08.pdf">v1.0</a> (August 25, 2008)</span></p> <h2><span style="FONT-SIZE: 10pt; COLOR: black">MedPAC <span dir= "ltr"><span style="COLOR: black"><a href= "http://www.medpac.gov/payment_basics.cfm">Medicare Payment Basics</a> </span></span></span></h2> <h4 class="MsoNormal" style="MARGIN: 0in 0in 0pt"> </h4> <h4 class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= "FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/_epoz/Medicare%20Literature">Medicare Literature</a></span></h4> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"> </p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= "FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/DME"><span style= "COLOR: purple">DME</span></a></span></p> <p class="MsoNormal" style="MARGIN: 9.75pt 0in; LINE-HEIGHT: 18pt"> <b><span style="FONT-SIZE: 13.5pt">Internet-Only Manuals (<a href= "http://reimbursement.atwiki.com/page/Internet-Only%20Manuals">list</a> or <a href="http://www.cms.hhs.gov/Manuals/IOM/list.asp?intNumPerPage=all&submit.x=14&submit.y=9">direct link</a>)</span></b></p> <p class="MsoNormal" style="MARGIN: 9.75pt 0in; LINE-HEIGHT: 18pt"> <b><span style="FONT-SIZE: 13.5pt">RULES (Proposed and Final) & ACTIVITIES (e.g., Work Plan)</span></b></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><span style="FONT-SIZE: 10pt; COLOR: purple"><a href="http://reimbursement.atwiki.com/page/2009%20Rules">2009</a></span></span></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href="http://reimbursement.atwiki.com/page/2008%20Rules"><span style="FONT-SIZE: 10pt; COLOR: purple">2008</span></a></span></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href="http://reimbursement.atwiki.com/page/2007%20Rules"><span style="FONT-SIZE: 10pt; COLOR: purple">2007</span></a></span></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a title="2006Rules" href="http://reimbursement.atwiki.com/page/2006%20Rules"><span style= "FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">2006</span></a></span></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href="http://reimbursement.atwiki.com/page/2005%20Rules"><span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">2005</span></a></span></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><font size="2"><span dir="ltr"><span style="COLOR: black">2004</span></span></font></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><font size="2"><span dir="ltr"><span style="COLOR: black">2003</span></span></font></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 60pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"><font size= "2"><span dir="ltr"><span style="COLOR: black"><span style= "FONT-FAMILY: Symbol"><span><font size="2">·</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><font size="2"><span dir="ltr"><span style="COLOR: black"><a href="http://reimbursement.atwiki.com/_epoz/2002%20Rules">2002</a></span></span></font></span></span></font></p> <p class="MsoNormal" style="MARGIN: 12pt 0in; LINE-HEIGHT: 18pt"> <b><span style="FONT-SIZE: 13.5pt; COLOR: black">CONVERSION FACTORS</span></b></p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"></p> <table border="1"> <tbody> <tr> <td></td> <td><strong>2006</strong></td> <td><strong>2007</strong></td> <td><strong>2008</strong></td> <td><strong>2009</strong></td> </tr> <tr> <td><strong>MPFS</strong></td> <td>$37.8975</td> <td>$37.8975</td> <td>$<span style="COLOR: #1f497d">38.7781</span></td> -<td>32.2285 (p)</td> +<td>$36.0666</td> </tr> <tr> <td><strong>OPPS</strong></td> <td>$59.511</td> <td>$61.468</td> <td>$63.694</td> <td>#</td> </tr> <tr> <td><strong>IPPS</strong></td> <td>#</td> <td>#</td> <td>#</td> <td>#</td> </tr> </tbody> </table> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"> </p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"> </p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 18pt"> <b><span style="FONT-SIZE: 12pt; COLOR: black">SETTINGS</span></b></p> <ul> <li><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Hospital%20Inpatient%20Setting"><b><span style="FONT-SIZE: 10pt; COLOR: black"> Hospital Inpatient</span></b></a></span></li> <li style="LIST-STYLE-TYPE: none"> <ul> <li><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://www.cms.hhs.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf"><span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)"> Acute Inpatient Prospective Payment System Fact Sheet</span></a></span></li> <li><span style="FONT-SIZE: 7pt"> </span><font size="2"><span style= "COLOR: black">HIPPS</span></font></li> <li><font size="2"><span style="COLOR: black">Medicare Severity Diagnosis-Related Group (MS-DRG)</span></font></li> </ul> </li> </ul> <ul> <li><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Hospital%20Outpatient%20Setting"><b><span style="FONT-SIZE: 10pt; COLOR: black"> Hospital Outpatient</span></b></a></span></li> <li style="LIST-STYLE-TYPE: none"> <ul> <li><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://www.cms.hhs.gov/MLNProducts/downloads/HospitalOutpaysysfctsht.pdf"><span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)"> Hospital Outpatient Prospective Payment System Fact Sheet</span></a></span></li> <li><font size="2"><span style="COLOR: black">HOPPS</span></font></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/ASC"><b><font size="2">Ambulatory Surgical Center (ASC)</font></b></a></span></span></li> <li><small><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Inpatient%20List">Inpatient List</a></span></span></small></li> </ul> </li> </ul> <ul> <li><u><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Hospital%20Outpatient%20Setting"><b><span style="COLOR: black"> <font size="2">Physician</font></span></b></a><b><font size= "2"> Office</font></b></span></u></li> <li style="LIST-STYLE-TYPE: none"> <ul> <li><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://www.cms.hhs.gov/MLNProducts/downloads/MedcrePhysFeeSchedfctsht.pdf"><span style="FONT-SIZE: 10pt; COLOR: purple"> Medicare Physician Fee Schedule Fact Sheet</span></a></span></li> <li><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Competitive%20Acquisition%20Program"><span style="COLOR: rgb(122,167,211)"> <font size="2">Competitive Acquisition Program</font></span></a></span><font size="2"><span style= "COLOR: black"> (CAP)</span></font></li> </ul> </li> </ul> <ul> <li><font size="2"><span style="COLOR: black"><a href= -"http://reimbursement.atwiki.com/page/ASC">Ambulatory Surgical Center</a> -(ASC)</span></font></li> +"http://reimbursement.atwiki.com/page/ASC">Ambulatory Surgical +Center</a>(ASC)</span></font></li> <li><font size="2"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/_epoz/Home%20Health">Home Health</a></span></font></li> <li><font size="2"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/_epoz/Long-Term%20Care">Long-Term Care</a> (LTC)<br></span></font></li> </ul> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 18pt"> </p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 18pt"> <b><span style="FONT-SIZE: 13.5pt; COLOR: black">TOPICS</span></b></p> <ul> <li><span dir="ltr"><span style="COLOR: black"><small><span dir= "ltr"><span style="COLOR: black"><span style="COLOR: black"><a href= -"http://reimbursement.atwiki.com/page/ASC">Ambulatory Surgical Center</a> -(ASC)</span></span></span></small></span></span></li> +"http://reimbursement.atwiki.com/page/ASC">Ambulatory Surgical +Center</a>(ASC)</span></span></span></small></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><small><span dir= "ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/_epoz/Bilateral%20Surgeries">Bilateral Surgeries</a></span></span></small></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Claims%20Appeals%20Process"><span style= "COLOR: rgb(122,167,211)"><font size="2">Claims Appeals Process</font></span></a></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Clinical%20Trials"><font size= "2">Clinical Trial Policy (CTP) / Clinical Research Policy (CRP)</font></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Coding"><span style= "FONT-SIZE: 10pt; COLOR: black">Coding</span></a></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Compendia"><font size= "2">Compendia</font></a></span></span></li> <li><b><a href= "http://reimbursement.atwiki.com/page/CAP%20%28Competitive%20Acquisition%20Program%29"> <span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">CAP (Competitive Acquisition Program)</span></a></b></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Compounding"><span style= "FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">Compounding</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Correct%20Coding%20Initiative%20%28CCI%29"> <span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">Correct Coding Initiative</span></a> </span><span style="COLOR: black"><font size= "2">(CCI)</font></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Coverage%20Determinations"><font size= "2">Coverage</font></a><font size="2"> (LCD, NCD, etc.)</font></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Coverage%20with%20Evidence%20Development"> <span style="FONT-SIZE: 10pt; COLOR: black">Coverage with Evidence Development</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://www.cms.hhs.gov/DataCompendium/"><span style= "FONT-SIZE: 10pt; COLOR: black">Data Compendium</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 10pt; COLOR: black">Diagnostic Testing (see <a href= "http://reimbursement.atwiki.com/page/Laboratory">Laboratory</a>)</span></span></li> <li><a href= "http://reimbursement.atwiki.com/page/DRG%20%28Diagnosis-Related%20Group%29"><span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)"> DRG (Diagnosis-Related Group)</span></a></li> <li><font size="2"><span dir="ltr"><span style="COLOR: black">Drug Coverage</span></span></font></li> <li><font size="2"><span dir="ltr"><span style="COLOR: black">Drug Administration</span></span></font></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Durable%20Medical%20Equipment"><span style="FONT-SIZE: 10pt; COLOR: purple"> Durable Medical Equipment</span></a> </span><span style= "COLOR: black"><font size="2">(DME)</font></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Equivalence"><font size= "2">Equivalence</font></a><font size="2"> (bio-, therapeutic, functional)</font></span></span></li> <li><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Evidence-Based%20Medicine"><font size= "2">Evidence-Based Medicine</font></a><font size= "2"> (EBM)</font></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Fee%20Schedules"><span style= "FONT-SIZE: 10pt; COLOR: purple">Fee Schedules</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><span dir= "ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><span style= "FONT-SIZE: 10pt; COLOR: purple"><a href= "http://reimbursement.atwiki.com/page/HCAHPS%20and%20Hospital%20Compare"><span style="FONT-SIZE: 10pt"> <font color="#000000">HCAHPS <em>and</em></font></span> Hospital Compare</a></span></span></span></span></span></li> <li><b><a href= "http://reimbursement.atwiki.com/page/Inhalation%20Drug%20Dispensing%20Fee"><span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)"> Inhalation Drug Dispensing Fee</span></a></b></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Injections%20and%20Infusions"><span style="FONT-SIZE: 10pt; COLOR: black"> Injections / Infusions</span></a></span></span></li> <li><small><span dir="ltr"><span style="FONT-SIZE: 10pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Inpatient%20List">Inpatient List</a></span></span></small></li> <li><span dir="ltr"><span style="FONT-SIZE: 10pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Laboratory"><span style= "FONT-SIZE: 10pt">Laboratory</span></a> (including diagnostic testing)</span></span></li> <li><span><a href= "http://reimbursement.atwiki.com/page/Medicare%20Administrative%20Contractors%20%28MACs%29"> <font size="2">Medicare Administrative Contractors (MACs)</font></a></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Medicare%20Evidence%20Development%20%2526%20Coverage%20Advisory%20Committee%20%28MedCAC%29"> <span style="FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">Medicare Evidence Development & Coverage Advisory Committee</span></a> </span><span style= "COLOR: black"><font size="2">(MedCAC)</font></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://www.cms.hhs.gov/MLNMattersArticles/"><span style= "FONT-SIZE: 10pt; COLOR: rgb(122,167,211)">Medicare Learning Network</span></a> </span><span style="COLOR: black"><font size= "2">(MLN)</font></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt"><a href= "http://www.cms.hhs.gov/NationalCorrectCodInitEd/"><span style= "FONT-SIZE: 10pt">National Correct Coding Initiatives Edits</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/_fckeditor/editor/Part%20B%20versus%20Part%20D%20Drug%20Coverage%20Determinations"> <span style="FONT-SIZE: 10pt; COLOR: black">Part B versus Part D Drug Coverage Determinations</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 12pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Payment"><span style= "FONT-SIZE: 10pt">Payment</span></a></span></span></li> <li><span dir="ltr"><span style="FONT-SIZE: 10pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/PQRI">Physician Quality Reporting Initiative</a> (PQRI)</span></span></li> <li><small><span dir="ltr"><span style="FONT-SIZE: 10pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/POS">Place of Service</a> (POS)</span></span></small></li> <li><span dir="ltr"><span style="FONT-SIZE: 10pt; COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Pricing"><span style= "FONT-SIZE: 10pt">Pricing</span></a></span></span></li> <li><font size="2"><span dir="ltr"><span style= "COLOR: rgb(122,167,211)"><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/_epoz/Quality">Quality</a> (<a href= "http://reimbursement.atwiki.com/page/PQRI">PQRI</a>and<a href= "http://reimbursement.atwiki.com/_epoz/RHQDAPU">RHQDAPU</a>)</span></span></span></span></font></li> <li><font size="2"><span dir="ltr"><span style= "COLOR: rgb(122,167,211)"><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/_epoz/RBRVS">RBRVS</a></span></span></span></span></font></li> <li><font size="2"><span dir="ltr"><span style= "COLOR: rgb(122,167,211)"><span dir="ltr"><span style="COLOR: black"><a href= "http://reimbursement.atwiki.com/page/Hospital%20Outpatient%20Setting"><span style="COLOR: rgb(122,167,211)"> <font size="2">Status Indicators</font></span></a></span></span></span></span></font></li> <li><font size="2"><span dir="ltr"><span style= "COLOR: rgb(122,167,211)"><span dir="ltr"><span style="COLOR: black">Surgical Discounting (see <a href= "http://reimbursement.atwiki.com/page/Hospital%20Outpatient%20Setting">Hospital Outpatient Setting</a>)</span></span></span></span></font></li> <li><font size="2"><span dir="ltr"><span style= "COLOR: rgb(122,167,211)"><span><font color="#000000"><span style= "FONT-WEIGHT: normal; FONT-SIZE: 7pt; LINE-HEIGHT: normal; FONT-STYLE: normal; FONT-VARIANT: normal; font-size-adjust: none; font-stretch: normal"> <a href= "http://reimbursement.atwiki.com/page/Medicare%20Trustees%20Reports"><font size="2"> Trustees Reports</font></a></span></font></span></span></span></font></li> </ul> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt 0.25in; LINE-HEIGHT: 18pt"> </p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt 0.25in; LINE-HEIGHT: 18pt"> <b><span style="FONT-SIZE: 16pt; COLOR: black">STATISTICS</span></b></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><font size="2">·</font></span><span style= "FONT-SIZE: 5pt"> </span><span style="COLOR: black"><a href= "http://www.resdac.umn.edu/Index.asp"><span style="COLOR: black"><font size= "2">Research Data Assistance Center</font></span></a><font size= "2"> (ResDAC)</font></span></p> <div dir="ltr" style="MARGIN-LEFT: 2em; MARGIN-RIGHT: 0px"> <ul> <li> <div class="MsoNormal" style= "MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="COLOR: black"><font size="2">Statistical Links and other Research Resources Sorted Alphabetically – By </font><a href= "http://www.resdac.umn.edu/Tools/Links-Alpha.asp"><span style= "COLOR: purple"><font size="2">Title</font></span></a><font size="2">, By </font><a href= "http://www.resdac.umn.edu/Tools/Links-Category.asp"><span style= "COLOR: purple"><font size="2">Category</font></span></a></span></div> </li> </ul> </div> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><font size="2">·</font></span><span style= "FONT-SIZE: 5pt"> </span><span style="COLOR: black"><font size="2">For statistics on inpatient services, the </font><a href= "http://www.cms.hhs.gov/MedicareFeeforSvcPartsAB/03_MEDPAR.asp#TopOfPage"><span style="COLOR: rgb(122,167,211)"><font size="2">Fee-For-Service MedPAR statistics page</font></span></a><font size="2"> would provide information on total charges, Medicare reimbursement, and days by state or DRG.</font></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: Symbol"><font size="2">·</font></span><span style= "FONT-SIZE: 5pt"> </span><span style="COLOR: black"><font size="2">For statistics on physician services, the </font><a href= "http://www.cms.hhs.gov/MedicareFeeforSvcPartsAB/04_MedicareUtilizationforPartB.asp#TopOfPage"><span style="COLOR: purple"><font size="2">Fee-For-Service statistics page</font></span></a><font size="2"> under the section Medicare Utilization for Part B provides information on allowed charges and allowed services for the Top 200 HCPCS codes.</font></span></p> <div style="MARGIN-LEFT: 2em"> <ul> <li> <div class="MsoNormal" style= "MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <font size="2"><span style="COLOR: black">Further, CMS breaks out the HCPCS codes and provides the Top 200: Level I-CPT-4 codes, Level II-HCPCS codes, Lab codes, and E&M codes.</span></font></div> </li> </ul> </div> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> </p> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><b><span style= "FONT-SIZE: 16pt; COLOR: black">HEALTH POLICY ORGANIZATIONS, SITES, RESOURCES</span></b></p> <ul type="disc"> <li class="MsoNormal" style="MARGIN: 0in 0in 0pt"><span style= "COLOR: black"><a title="MedPAC" href= "http://reimbursement.atwiki.com/display/MCARE/MedPAC"><b><span style= "COLOR: rgb(122,167,211); TEXT-DECORATION: none"><font size= "2">MedPAC</font></span></b></a><font size="2"> (Medicare Payment Advisory Commission)</font></span></li> </ul> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 1.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: 'Courier New'"><span><font size= "2">o</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="COLOR: black"><a href="http://medpac.gov/document_TOC.cfm?id=428"><span style="COLOR: rgb(122,167,211)"><font size="2">2007 Data Book</font></span></a></span></span></p> <p class="MsoNormal" style= "MARGIN: 0in 0in 0pt 1.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 18pt"> <span style="FONT-FAMILY: 'Courier New'"><span><font size= "2">o</font><span style= "FONT: 7pt 'Times New Roman'; font-size-adjust: none; font-stretch: normal"> </span></span></span><span dir="ltr"><span style="COLOR: black"><a href="http://www.medpac.gov/payment_basics.cfm"><font size="2">Medicare Payment Basics</font></a></span></span></p> <ul type="disc"> <li class="MsoNormal" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 18pt"> <span style="COLOR: black"><font size="2">KaiserEDU.org</font></span></li> <li class="MsoNormal" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 18pt"> <span style="COLOR: black"><a href= "http://www.kaiseredu.org/tutorials/Medicare101_2006/player.html"><span style= "COLOR: rgb(122,167,211)"><font size="2">Tutorial: Medicare 101</font></span></a></span></li> <li class="MsoNormal" style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 18pt"><a href= "http://www.allhealth.org/"><span style="COLOR: rgb(122,167,211)"><font size= "2">Alliance for Health Reform</font></span></a></li> </ul> |