Medicare Learning Network: https://www.cms.hhs.gov/MLNGenInfo Online Medicare manuals: https://www.cms.hhs.gov/manuals/IOM Medicare Physician Fee Schedule: https://www.cms.hhs.gov/FeeScheduleGenInfo Conditions of Participation: https://www.cms.hhs.gov/CFCsandCOPs HCPCS HIPAA HIPAA Privacy Rule ICD WHO ICD-9-CM addenda ICD-9-CM Official Guidelines for Coding and Reporting NIH Listserv The National Institute of Health (NIH) Listserv home page can be accessed to sign up for a variety of listservs, such as https://list.nih.gov/ NUBC NUCC OCR OIG TRICARE and CHAMPVA WPC www.wpc-edi.com OWCP Electronic Medical Records ( https://www.ahima.org ) Associations AHIP America’s Health Plans American Academy of Professional Coders (AAPC) 309 West 700 South AHA Coding Clinic for ICD-9-CM AHA Order Services American Association of Health Information Management (AHIMA) 233 North Michigan Avenue, Suite 2150 AMA Press PO Box 930884 The Coding Institute 2272 Airport Road South Coding Strategies, Inc. 5401 Dallas Hwy, Suite 606 Conomikes Reports, Inc. 12233 W. Olympic Blvd., Suite 116 hcPro 200 Hoods Lane Ingenix, Inc. St. Anthony Publishing/Medicode MMHSI/Coders Central 800 253 4945 Medical Management Institute 11405 Old Roswell Road NCHS 3311 Toledo Road Practice Management Information Corp. (PMIC) 4727 Wilshire Boulevard UCG/DecisionHealth 11300 Rockville Pike, Suite 1100 United States Government Printing Office Federal Register Online website for ICD and DRG codes
Government Sites and Resources
CCI
The Medicare Correct Coding Initiative automated edits are online at https://www.cms.hhs.gov/NationalCorrectCodInitEd/
CMS
Coverage of the Centers for Medicare and Medicaid Services: Medicare, Medicaid, SCHIP, HI… https://www.cms.hhs.gov
General information on HCPCS https://www.cms.hhs.gov/MedHCPCSGenInfo
Annual alphanumeric Healthcare Common Procedure Coding System file https://www.cms.hhs.gov/HCPCSReleaseCodeSets
https://www.cms.hhs.gov/hipaageninfo
Questions and Answers on HIPAA Privacy Policies https://www.hhs.gov/faq/
“Standards for Privacy of Individually Identifiable Health Information; Final Rule.” 45 C…
https://www.hhs.gov/ocr/hipaa/finalreg.html
NCHS (National Center for Health Statistics) posts the ICD-9-CM addenda and guidelines
https://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines
The International Statistical Classification of Diseases and Related Health Problems, ten…
https://www.who.int/whosis/icd10/
www.cms.hhs.gov/ICD9ProviderDiagnosticCodes
www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm
The National Uniform Billing Committee develops and maintains a standardized data set for…
https://www.nubc.org
The National Uniform Claim Committee develops and maintains a standardized data set for u…
https://www.nucc.org
The Office of Civil Rights of the HHS enforces the HIPAA Privacy Rule; Privacy Fact Sheet…
https://www.hhs.gov/ocr/hipaa
The Office of Inspector General of the HHA home page links to fraud and abuse, advisory o…
https://www.oig.hhs.gov
Model compliance programs are found at https://oig.hhs.gov/fraud/complianceguidance.html
General TRICARE information https://www.tricare.osd.mil
CHAMPVA Overview https://www.military.com/benefits/veterans-health-care/champva-overview
Washington Publishing Company is the link for HIPAA Transaction and Code Sets implementation guides. It also assists several organizations in the maintenance and distribution of HIPAA-related code lists that are external to the X12 family of standards:
The Office of Workers’ Compensation Programs on the Department of Labor website provides …
https://www.dol.gov/esa/
AHIMA Coverage of Related Topics Located under HIM resources under the Practice Brief tab…
Computer-based Patient Record Institute (CPRI)
( https://www.cpri.org )
Medical Record Institute https://www.medrecinst.com
AAFP American Academy of Family Physicians
( https://www.aafp.org )
AAHAM American Association of Healthcare Administrative Management
( https://www.aaham.org )
AAHP American Association of Health Plans
( https://www.aahp.org )
AAMA American Association of Medical Assistants
( https://www.aama-ntl.org )
AAPC American Academy of Professional Coders
( https://www.aapc.com )
ACA International (formerly American Collectors Association)
( https://www.acainternational.org )
ACHE American College of Healthcare Executives
( https://www.ache.org )
ACI American Compliance Institute
( https://www.aci-compliance.com )
AFEHCT Association for Health Care Transactions
( https://www.afehct.org )
AGPAM American Guild of Patient Account Managers
( https://www.agpam.org )
AHA American Hospital Association
( https://www.aha.org )
AHDI Association for Healthcare Documentation Integrity
( https://www.ahdionline.org )
AHIMA American Health Information Management Association
( https://www.ahima.org )
Links to Member Health Plans
( https://www.ahip.org )
AHLA American Health Lawyers Association
( https://www.healthlawyers.org )
AMA American Medical Association
( https://www.ama-assn.org )
AMB Association of Medical Billers
( https://www.ambanet.net/AMBA.htm )
American Hospital Directory
( https://www.ahd.com )
AMIA American Medical Informatics Association
( https://www.amia.org )
AMT American Medical Technologists
( https://www.amt1.com )
ANA American Nursing Association
( https://www.ana.org )
ANSI American National Standards Institute
( https://www.ansi.org )
BLS Bureau of Labor Statistics
( https://stats.bls.gov )
Bureau of National Affairs, Inc.
( https://www.bna.com )
CHIME College of Healthcare Information Management Executives
( https://www.cio-chime.org )
CLMA Clinical Laboratory Management Association
( https://www.clma.org )
HBMA Healthcare Billing and Management Association
( https://www.hbma.com )
HCCA Health Care Compliance Association
( https://www.hcca-info.org )
HFMA Healthcare Financial Management Association
( https://www.hfma.org )
Healthcare Intelligence Network
( https://www.hin.com )
Joint Commission
( https://www.jointcommission.org )
MGMA Medical Group Management Association
( https://www.mgma.org )
NCQA National Committee for Quality Assurance
( https://www.ncqa.org )
NCVHS National Committee on Vital and Health Statistics
( https://www.ncvhs.hhs.gov )
PAHCOM Professional Association of Health Care Office Management
( https://www.pahcom.com )
URAC American Accreditation HealthCare Commission
( https://www.urac.org )
Selected Coding Resources
Note that many commercial vendors of the annual coding books offer package prices for the year’s CPT, ICD-9-CM, and HCPCS references. Professional organizations may also offer discounts.
Salt Lake City, UT 84101
800 626 CODE
Certification courses/examinations and coding-related publications
https://www.aapc.com
PO Box 92683
Chicago, IL 60675-2683
800 242 2626
Official Coding Guidelines for ICD-9-CM
https://www.ahaonlinestore.com
Chicago, IL 60601-5800
312 233 1100
Certification courses/examinations and coding-related publications
https://www.ahima.org
Atlanta, GA 31193-0884
800 621 8335
Annual Editions of CPT, ICD, and HCPCS
www.ama-assn.org/ama/pub/category/3113.html
CPT Assistant and CPT Clinical Examples
https://www.amapress.com
Naples, FL 34112
800 508 2582
Coding resources in medical specialties; seminars
https://www.codinginstitute.com
Powder Springs, GA 30132
877 6 CODING
Medical coding education and specialty publications
https://www.codingstrategies.com
Los Angeles, CA 90064
800 421 6512
Newsletters and handbooks
https://www.conomikes.com
Marblehead, MA 01945
800 650 6787
Training materials and E-newsletters
https://www.hcpro.com
2525 Lake Park Blvd.
Salt Lake City, UT 84120
800 INGENIX
Annual editions of ICD-9-CM, CPT, and HCPCS books; newsletters, and electronic reference manuals
https://www.ingenix.com
Online resource for coding reference books
( https://www.coderscentral.com )
Alpharetta, GA 30004
800 334 5725
Annual editions of ICD-9-CM, CPT, and HCPCS books; seminars
( https://www.CodingCourse.com )
National Center for Health Statistics
Hyattsville, MD
301 458 4000
ICD-9-CM code set, addenda, and coding guidelines available for downloading
( https://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines )
Los Angeles, CA 90010
800 MEDSHOP
Annual editions of CPT, ICD-9-CM, and HCPCS code books; publications on practice management and coding reimbursement
( https://pmiconline.stores.yahoo.net )
Rockville, MD 20852
301 287 2700
Newsletters, especially ICD-9/CPT Coding Pro and Specialty Coders’ Pink Sheets; publications
( https://www.decisionhealth.com )
www.access.gpo.gov
( https://www.access.gpo.gov )
www.icd9coding.com
( https://www.icd9coding.com )
