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Resources boost Medicare compliance

March 05, 2012

By Kelly Soderlund, ADA News staff

The Centers for Medicare & Medicaid Services has a new online resource for Medicare Fee-For-Service providers looking to make sure they are compliant with the law.

The Medicare Learning Network Products Provider Compliance webpage, www.cms.gov/MLNProducts/45_ProviderCompliance.asp, has educational products that help Medicare Fee-For-Service providers avoid common billing errors and other improper activities when dealing with Medicare. Providers can download documents such as “Medicare Parts C and D Fraud, Waste and Abuse Training,” “Medicare Fraud & Abuse, Prevention, Detection and Reporting,” and access provider compliance articles and newsletters.

Since 1996, CMS has implemented several initiatives to prevent improper payments before a claim is processed and to identify and recoup improper payments after the claim is processed. The overall goal of the claim review programs is to reduce payment errors by identifying and addressing billing errors concerning coverage and coding made by providers.

To download any of the products or related articles, visit the website and go to the downloads section. The lists are updated as new products are developed and existing materials are revised.

The ADA Practical Guide to Frequently Asked Legal Questions offers information about this area of compliance. The guide (L756) costs $89.95 for members and $134.95 for nonmembers. To purchase, visit the online catalog at http://catalog.ada.org or call 1-800-947-4746.