UM Office of Billing Compliance Newsletter

PHYSICIAN/HOSPITAL

Click on the links below for more information July update to the 2011 Medicare physician fee schedule database New FAQs available about HIPAA version 5010 implementation

What you should know about the GEMs and partial code freeze General Equivalence Mappings (GEMs) ICD-10

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) created the national version of the GEMs to ensure that consistency in national data is maintained. The GEMs are tools that act mainly as a crosswalk between the ICD-9 and ICD-10 codes. You can look up an ICD-9 code and be provided with the most appropriate ICD-10 matches and vice versa. They are not a substitute for learning the new ICD-10 codes; however, they can assist users doing the following: • Translating lists of codes, code tables, or other coded data • Converting a system or application containing ICD-9-CM codes • Creating a “one-to-one” applied mapping (aka crosswalk) between code sets that will be used in an ongoing way to translate records or other coded data • Studying the differences in meaning between the ICD-9-CM classification systems and the ICD-10-CM/PCS classification systems by looking at the GEMs entries for a given code or area of classification The 2011 GEMs are posted to the CMS ICD-10 website. As a reminder, if you plan to use a GEM, per the Affordable Care Act, you must use the GEMs posted to the CMS website. For more information on the GEMs, look at the GEMs fact sheet and the GEMs Web pages of the ICD-10 website.

Partial code freeze Because continuous updates and changes to the existing code sets has the potential to make the transition to ICD-10 difficult, CMS will be implementing a partial code freeze on October 1, 2011. This is the last day for regular updates to both the ICD-9 and ICD-10 code sets. Starting October 1, 2012, there will be only limited code updates to ICD-9-CM and ICD-10 code sets to capture new technology and new diseases. There will be no updates to ICD-9-CM on October 1, 2013, as the system will no longer be a HIPAA standard.

Keep up-to-date on version 5010 and ICD-10 Please visit www.cms.gov/ICD10 for the latest news and resources to help you prepare! Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.

Professional Component

Inside This Issue

PROFESSIONAL COMPONENT

- July 2011 Medicare Physician Fee

Schedule Updates

- FAQs HIPAA version 5010

- ICD-10 Crosswalk

- PKW (Paperwork) Documentation

Submission with the Claim

- Reduce Claim Submission Errors

- Signature Requirements Clarification

- Pathology

- Cardiac Pace Makers

- Radiation Therapy 77402 Denials

- Hemodialysis Treatment for

Schizophrenia

HOSPITAL COMPONENT - Preventable Acquired Illnesses or Injuries - Guidance on Hospital Inpatient Admission Decisions - Program for Evaluating Payment Patterns Electronic Report (PEPPER) -RAC- Coagulation Disorders Improper Coding MS-DRG 13

Webpage

Email Address

Helpline

Fingerprinting

VOLUME 11 ISSUE 2

May 2011

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PWK is Coming PWK allows for documentation to be submitted with an initial claim Effective July 5, 2011, First Coast Service Options Inc. (FCSO) will implement the PWK (paperwork) segment of the X12N version 5010. This will allow for submission of supporting documentation with a 5010 version electronic claim. PWK is a segment within the 2300 Loop of the 837 Professional and Institutional electronic transactions that provides the link between electronic claims and additional documentation. PWK will allow providers to submit electronic claims that require additional documentation and, through the dedicated PWK process, have the documentation imaged to be available during the claims adjudication. Eliminating the need for costly development and allowing providers and Medicare contractors to utilize efficient, cost-effective Electronic Data Interchange or EDI technology will create a significant cost savings. Although PWK ultimately will allow electronic submission of additional documentation, the July implementation will only allow for submission of additional documentation via mail and fax (PWK 02 segment, BM [by mail] and FX [by fax] qualifier, respectively). FCSO will make available a fax/mail coversheet that providers or trading partners shall use to submit the unsolicited additional documentation. The FCSO fax/mail coversheet will be an interactive form posted to our website. Providers or trading partners will complete required data elements and then be able to print a hardcopy of the form to mail or fax with their documentation. Modifications to the fax/mail coversheet will not be permitted. Separate forms will be provided for Part A and B for Florida, Puerto Rico, and the U.S. Virgin Islands. FCSO will also provide secure faxination numbers for those providers or trading partners who elect to fax the additional documentation.

PWK Fax/mail coversheets FCSO is requiring the following section of the form to be completed with valid information to ensure the paperwork documentation is appended to the pending claim in our system: ACN (ADS [additional development system] control number), DCN (document control number [Part A]), ICN (internal control number [Part B]), the beneficiary's health insurance claim number (HICN)/Medicare number, Billing provider's name and NPI (national provider identifier). FCSO will return PWK coversheets with missing or inaccurate data. The coversheet will be returned based on how it was received (fax or mail). • Note: FCSO will not return any paperwork documentation that accompanies a rejected PWK coversheet; nor will the documentation be used for adjudication of the claim. PWK documentation may not be submitted prior to submission of a claim. Submitters must send all relevant PWK data at the same time for the same claim. Thus, if the claim was submitted with multiple PWK iterations, all PWK data for the claim must be submitted together under one coversheet. If the PWK segment is completed and additional documentation is needed for adjudication, FCSO will allow seven calendar "waiting" days (from the claim date of receipt) for the paperwork documentation to be faxed or ten calendar waiting days to be mailed. The seven and ten day waiting periods apply to all Jurisdiction 9 (J9) claims for both Part A and Part B. If the PWK data is not received within the waiting timeframe and additional documentation is needed, a development request will be sent. If documentation is received after the timeframe has elapsed, the coversheet will be returned and the documentation will not be used for adjudication of the claim. Thus, the paperwork will need to then accompany our request for additional documentation to prevent possible claim denials. Claims submitted with a PWK segment, that would not otherwise suspend for review and/or require additional development, will process routinely and will not be held for the seven or ten day waiting period.

Faxination numbers FCSO will provide designated faxination lines to expedite receipt of the PWK coversheets/attachments, depending on the provider’s line of business and location (Part A or Part B; Florida, Puerto Rico, or the U.S. Virgin Islands.) Each fax/mail coversheet will include the appropriate FCSO return mailing address and faxination number, based on the provider's selection.

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5010 companion guides Additional information on the PWK segment is available in the X12 Version 5010 837I and 837P Companion Guides. • Part A: 837 Institutional Claim Transaction Specific Information • Part B: 837 Professional Claim Transaction Specific Information

Steps to Reduce the Number of Claim Submission Errors Errors in your claim submissions can significantly delay processing and payment. Did you review your batch detail control listing? Claims submission errors may be obtained in a timely fashion through your electronic data interchange (EDI) gateway mailbox on a report titled batch detail control listing. Referring to this report will allow you to correct and resubmit claims quickly, resulting in a dramatically reduced turnaround time. This report will also inform you of any major problems with your claims, so they can be corrected before creating an interruption in your cash flow. Did you know you can now create an account and receive your personalized Provider Data Summary The Provider Data Summary (PDS) is a comprehensive billing report designed to be utilized along with Medicare Remittance Notices (MRNs) and other provider-accessible billing resources to help identify potential Medicare billing issues through a detailed analysis of your personal billing patterns in comparison with those of similar providers. To request this useful report and enhance the accuracy and efficiency of your Medicare billing process, use the PDS portal, available at http://medicare.fcso.com/Reporting/. Obtain your personalized PDS report by visiting our Provider Data Summary page at http://medicare.fcso.com/PDS/. It is here you will find all PDS resources, including a guide, helpful frequently asked questions (FAQs), and the PDS Portal. Select the link titled “PDS Portal.” From there, you will be given the option to log in, get help with a misplaced password, or create an account.

Signature requirements clarification The Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) have clarified that providers of Medicare services must comply with the signature legibility requirements. Medicare requires a legible signature for services provided/ordered. The method used shall be hand written or an electronic signature (stamp signatures are not acceptable) to sign an order or other medical record documentation. •The legible signature requirement applies to documentation for any service performed and billed to Medicare. The purpose of a rendering/treating/ordering practitioner’s signature in patients’ medical records, operative reports, orders, test findings, etc., is to support that the services have been accurately and completely documented, reviewed and authenticated. • Electronic signatures should be safeguarded against misuse (such as password protected) and should be easily identifiable as electronic, rather than typewritten signatures. Physicians, non-physician practitioners, and other health care providers who bill Medicare must remember: • A legible signature is required on all medical records. • CMS (in the CERT Program) is requiring the provider signature be present and that all documentation in the medical record must have a provider legible signature. •If the provider’s signature is illegible, a signature legend/log identifying the illegible signature or initials should be submitted with the records.

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Pathology

Clinical laboratory Fee Schedule – Removal of Test Code G0431QW and Addition of Test Code G0434QW

The Centers for Medicare & Medicaid Services (CMS) is updating the status of two codes on the clinical laboratory fee schedule (CLFS):

• Effective April 1, 2011, code G0431QW is deleted from the CLFS. Code G0431 describes a high complexity test, and should not be reported with a modifier QW; the modifier QW indicates a Clinical Laboratory Improvement Amendments (CLIA) waived test.

• Effective April 1, 2011, code G0434QW is added to the CLFS. Code G0434 can describe a CLIA waived test. The use of the modifier QW to indicate a CLIA waived test is necessary for accurate claims processing. Codes G0431 and G0434 will remain on the CLFS.

Single and Dual Chamber Cardiac Pacemakers – draft LCD

Local Coverage Determination (LCD) L29182 Florida) The Medicare administrative contractor (J9 MAC) recently published a draft local coverage determination (LCD) for single and dual chamber cardiac pacemakers. Comments were received on this draft and were related to medical necessity criteria for single and dual chamber cardiac pacemakers, which are outlined in the Medicare National Coverage Determinations (NCD) Manual for cardiac pacemakers, Publication 100.03, Chapter 1, Section 20.8. CERT medical review of claims demonstrated that patients were not meeting the criteria for coverage for dual chamber cardiac pacemakers as outlined in the NCD. Given that the comments received were related to medical necessity criteria for single and dual chamber cardiac pacemakers established by the NCD and considering that the J9 MAC does not have discretion to alter language of the NCD, the J9 MAC has determined the best approach at this time will be to not finalize the draft LCD for single and dual chamber cardiac pacemakers. The NCD for cardiac pacemakers includes language for the indications for dual chamber cardiac pacemakers which requires providers to justify in the medical record the insertion of a dual chamber cardiac pacemaker over a single chamber cardiac pacemaker. The specific coverage criteria for dual chamber cardiac pacemakers is as follows: 1. Patients in whom single-chamber (ventricular pacing) at the time of pacemaker insertion elicits a definite drop in blood pressure, retrograde conduction, or discomfort. 2. Patients in whom the pacemaker syndrome (atrial ventricular asynchrony), with significant symptoms, has already been experienced with a pacemaker that is being replaced. 3. Patients whom even a relatively small increase in cardiac efficiency will importantly improve the quality of life, e.g., patients with congestive heart failure despite adequate other medical measures. 4. Patients in whom the pacemaker syndrome can be anticipated, e.g., in young and active people, etc. Whenever the following conditions (which represent overriding contraindications) are present, dual chamber pacemakers are not covered:

1. Ineffective atrial contractions (e.g., chronic atrial fibrillation or flutter, or giant left atrium).

2. Frequent or persistent supraventricular tachycardias, except where the pacemaker is specifically for the control of the tachycardia.

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3. A clinical condition in which pacing takes place only intermittently and briefly, and which is not associated with a reasonable likelihood that pacing needs will become prolonged, e.g., the occasional patient with hypersensitive carotid sinus syndrome with syncope due to bradycardia and unresponsive to prophylactic medical measures. 4. Prophylactic pacemaker use following recovery from acute myocardial infarction during which there was temporary complete (third-degree) and/or Type II second-degree AV block in association with bundle branch block. All other indications for dual-chamber cardiac pacing for which the Centers for Medicare & Medicaid Services (CMS) has not specifically indicated coverage remain nationally non-covered, except for Category B Investigational Device Exemptions (IDE) clinical trials, or as routine costs of dual-chamber cardiac pacing associated with clinical trials, in accordance with CMS Clinical Trial Policy contained in the Medicare NCD Manual, CMS Publication 100-03, Chapter 1, Section 310.1 at http://www.cms.gov/manuals/downloads/ncd103c1_Part4.pdf. Providers can access the CERT Cardiac Pacemaker Fact Sheet released in December 2010 by CMS at http://www.hrsonline.org/Policy/CodingReimbursement/coverage/upload/CERT_Pmaker_FactSheet_ICN905144.pdf. The J9 MAC recommends that physician and allied health providers be familiar with the language in the NCD when determining the need for a single versus a dual chamber cardiac pacemaker and when documenting the medical justification for insertion of a dual chamber versus a single chamber cardiac pacemaker.

77402: Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas

of the Skin – Inappropriate Denials

LCD ID number: L31510 (Florida/Puerto Rico/U.S. Virgin Islands) First Coast Service Options Inc. (FCSO) recently implemented a new local coverage decision (LCD) addressing radiation therapy for T1 basal cell and squamous cell carcinomas of the skin. The LCD became effective February 13, 2011. Since implementation of the LCD, it has been brought to our attention that providers may be receiving inappropriate denials based on diagnosis codes related to the procedure codes listed in the LCD. FCSO has confirmed this and we are working diligently to correct this problem. Additionally, FCSO will identify all services that have been denied in error and make the appropriate adjustments. Providers will not need to resubmit denied claims or request an appeal for redetermination. FCSO apologizes for any inconvenience this may have caused our provider community. First Coast Service Options Inc. (FCSO) LCDs are available through the CMS Medicare Coverage Database at http://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx.

90935-90937: Hemodialysis for Treatment of Schizophrenia – National

Coverage Determination

The national coverage determination (NCD) for hemodialysis for treatment of schizophrenia (Medicare National Coverage Determination Manual, Pub. 100-03, Chapter 1, Section 130.8) indicates that scientific evidence supporting use of hemodialysis as a safe and effective means of treatment of schizophrenia is inconclusive at this time. Accordingly, Medicare does not cover hemodialysis for treatment of schizophrenia. First Coast Service Options Inc. has identified the following diagnoses to represent schizophrenia based on this NCD: 295.00-295.95 (Schizophrenic disorders) This article serves as a 45-day notice that hemodialysis for treatment of schizophrenia is not considered safe and effective when billed with diagnoses 295.00-295.95 effective for services rendered on or after June 1, 2011.

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HOSPITAL COMPONENT

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs

FOR IMMEDIATE RELEASE Contact: CMS Office of Media Affairs June 1, 2011 (202) 690-6145

Affordable Care Act Gives States Tools to Improve Quality of Care in Medicaid, Save Taxpayer Dollars

New rule will reduce payments for preventable healthcare acquired conditions

WASHINGTON, D.C. – The Centers for Medicare & Medicaid Services (CMS) today issued a final Affordable Care Act rule that will reduce or prohibit payments to doctors, hospitals and other health care providers for services that result from certain preventable healthcare acquired illnesses or injuries. This rule will help reward providers who provide high quality care to people in Medicaid leading to better care for patients and lower costs.

This final rule builds on States’ successes and Medicare policies, which already reduce or prohibit hospital payments for preventable conditions. The new rule would better align Medicare and Medicaid payment policy, while giving States the flexibility to expand the list of preventable conditions the program would no longer pay for. In recent years, many States have been at the forefront of these improvements.

“Today, we are partnering with States to give them the tools to improve the quality of care for patients and lower costs for taxpayers,” said CMS Administrator Donald M. Berwick, M.D. “These steps will encourage health professionals and hospitals to reduce preventable infections, and eliminate serious medical errors. As we reduce the frequency of these conditions, we will improve care for patients and bring down costs at the same time.”

This step is part of CMS’ ongoing efforts to improve the quality of care that patients receive and reduce overall health care costs. These efforts include tying payment to quality standards, investing in patient safety initiatives to reduce preventable hospitalizations such as the Partnership for Patients, and implementing broad reform of our health care delivery system.

The new rule prohibits States from making payments to providers under the Medicaid program for conditions that are reasonably preventable. It uses Medicare’s list of preventable conditions in inpatient hospital settings as the base (adjusted for the differences in the Medicare and Medicaid populations) and provides States the flexibility to identify additional preventable conditions and settings for which Medicaid payment will be denied.

The final rule is effective July 1, 2011 but gives States the option to implement between its effective date and July 1, 2012.

To learn more, please visit:

· Final rule at the Federal Register: Payment Adjustment for Provider-Preventable Conditions Including Health Care-Acquired Conditions http://www.ofr.gov/OFRUpload/OFRData/2011-13819_PI.pdf

· AHRQ Patient Fact Sheet: 20 Tips to Help Prevent Medical Errors

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APPENDIX

List of Provider-Preventable Conditions (PPCs)

PPCs are divided into two categories: HCACs and OPPCs (Other Provider-Preventable Conditions). HCACs will apply to all inpatient hospitals under Medicaid and are defined as:

• Foreign Object Retained After Surgery • Air Embolism • Blood Incompatibility • Stage III and IV Pressure Ulcers • Falls and Trauma

o Fractures o Dislocations o Intracranial Injuries o Crushing Injuries o Burns o Electric Shock

• Catheter-Associated Urinary Tract Infection (UTI)

· Vascular Catheter-Associated Infection

• Manifestations of Poor Glycemic Control o Diabetic Ketoacidosis o Nonketotic Hyperosmolar Coma o Hypoglycemic Coma o Secondary Diabetes with Ketoacidosis o Secondary Diabetes with Hyperosmolarity

• Surgical Site Infection Following: o Coronary Artery Bypass Graft (CABG) - Mediastinitis o Bariatric Surgery

Laparoscopic Gastric Bypass Gastroenterostomy Laparoscopic Gastric Restrictive Surgery

o Orthopedic Procedures Spine Neck Shoulder Elbow

• Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE) Following Total Knee Replacement or Hip Replacement – with pediatric and obstetric exceptions

OPPCs are defined to identify as a baseline, the three Medicare National Coverage Determinations (surgery on the wrong patient, wrong surgery on a patient, and wrong site surgery). States may identify others with CMS approval through the State plan amendment process.

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Guidance on Hospital Inpatient Admission Decisions It is important that any staff involved with the clinical decision to admit the patient stay abreast of all CMS national inpatient hospital policy and National and Local Coverage Determinations. Additionally, make sure medical documentation submitted demonstrates evidence of the clinical need for the patient to be admitted to the inpatient facility and fully and accurately identifies any subsequent care that was provided during the inpatient stay.

Chapter 6, Section 6.5.1, of the Medicare Program Integrity Manual requires that contractor review staff use a screening tool as part of their medical review process for inpatient hospital claims. CMS does not require that the contractor use specific criteria nor endorse any particular brand of screening guidelines. CMS contractors are not required to pay a claim even if screening criteria indicate inpatient admission is appropriate Conversely, CMS contractors are not required to automatically deny a claim that does not meet the admission guidelines of a screening tool. In all cases, in addition to screening instruments, the reviewer shall apply his/her own clinical judgment to make a medical review determination based on the documentation in the medical record. For each case, the review staff will utilize the following when making a medical necessity determination

Admission criteria; Invasive procedure criteria; CMS coverage guidelines; Published CMS criteria; and Other screens, criteria, and guidelines (e.g., practice guidelines that are well accepted by the medical community). NOTE: CMS considers the use of screening criteria as only one tool that should be utilized by contractors to assist them in making an inpatient hospital claim determination.

Chapter 6, Section 6.5.2, of the Medicare Program Integrity Manual states that the review of the medical record must indicate that inpatient hospital care was medically necessary, reasonable, and appropriate for the diagnosis and condition of the patient at any time during the stay. The patient must demonstrate signs and/or symptoms severe enough to warrant the need for medical care and must receive services of such intensity that they can be furnished safely and effectively only on an inpatient basis.

The reviewer will consider, in his/her review of the medical record, any pre-existing medical problems or extenuating circumstances that make admission of the beneficiary medically necessary. Factors that may result in an inconvenience to a beneficiary or family do not, by themselves, justify inpatient admission.

Inpatient care, rather than outpatient care, is required only if the beneficiary's medical condition, safety, or health would be significantly and directly threatened if care was provided in a less intensive setting. Without accompanying medical conditions, factors that would only cause the beneficiary inconvenience in terms of time and money needed to care for the beneficiary at home or for travel to a physician's office, or that may cause the beneficiary to worry, do not justify a continued hospital stay.

Chapter 6 of the Medicare Program Integrity Manual, Section 6.5 is available at http://www.cms.gov/manuals/downloads/pim83c06.pdf.

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Factors to be considered when making the decision to admit include such things as:

• The severity of the signs and symptoms exhibited by the patient;

• The medical predictability of something adverse happening to the patient;

• The need for diagnostic studies that appropriately are outpatient services (i.e., their performance does not ordinarily require the patient to remain at the hospital for 24 hours or more) to assist in assessing whether the patient should be admitted; and

• The availability of diagnostic procedures at the time when and at the location where the patient presents.

Admissions of particular patients are not covered or non-covered solely on the basis of the length of time the patient actually spends in the hospital.

Chapter 1, Section 10 of the Medicare Benefit Policy Manual is at http://www.cms.gov/manuals/Downloads/bp102c01.pdf.

New Release of PEPPER Now Available A new release of the Program for Evaluating Payment Patterns Electronic Report (PEPPER), which contains statistics through the first quarter of fiscal year 2011, is available for short-term acute care hospitals (open as of December 31, 2010). PEPPER files were distributed in late May 2011 through a My QualityNet secure file exchange to hospital QualityNet Administrators and user accounts with the PEPPER-recipient role.

About PEPPER PEPPER provides hospital-specific data statistics for Medicare severity diagnosis-related groups and discharges at high risk for improper payments. It is distributed by TMF® Health Quality Institute under contract with the Centers for Medicare & Medicaid Services. Visit PEPPERresources.org to access resources for using PEPPER, including user’s guides , information about QualityNet accounts, frequently-asked questions , and examples of how other hospitals are using PEPPER. Do you have questions or comments about PEPPER or need help obtaining your report? Visit the PEPPER Help Desk , or provide your input through the PEPPER feedback form .

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To learn about our department visit the Office of Billing Compliance Web Page at www.umdoctors.com and click Administration.

If you have any questions on Coding, Billing and Documentation you may email us by accessing

Outlook and typing Office of Billing Compliance or officeofbillingcompliance@med.miami.edu or call our Helpline at (305)-243 HELP(4357) or Toll Free 1-877-415-HELP(4357).

Calls may remain anonymous.

Our Billing Compliance Educational Program is now online by accessing the Ulearn website at: www.Ulearn.miami.edu.

Coding, Billing and Documentation Training Modules (CBLs) available of the Professional Component;

- Billing Compliance Training

- Critical Care Services

- Evaluation and Management (E&M) Services Module I

- Evaluation and Management (E&M) Services Module II

- Major Surgery Global Fee and Minor Surgery Rules

- Medicare Rule for Teaching Physicians

- Psychiatry Services

- Routine Costs in Clinical Trials Billing Guidelines

- Diagnostic Tests Billing Guidelines

For Residents, Fellows and other non-UM employees the links to the CBLs are as follows: - http://pdto.miami.edu/external/compliance/CriticalCareServicesWeb/index.html - http://pdto.miami.edu/external/compliance/EMServices_Module1Web/index.html - http://pdto.miami.edu/external/compliance/EMServices_Module2Web/index.html - http://pdto.miami.edu/external/compliance/MajorSurgeryGlobalFeeWeb/index.html - http://pdto.miami.edu/external/compliance/MedicareRuleWeb/index.html - http://pdto.miami.edu/external/compliance/PsychiatryWeb/index.html - http://pdto.miami.edu/external/Compliance/ClinicalTrialsBillingGuidelines/index.html - http://pdto.miami.edu/external/compliance/DiagnosticTestsBillingGuidelines/index.html

________________________________________________________________________________________ Hospital Compliance Training Modules (CBLs)

- Hospital Compliance Orientation

- Billing Compliance Training

- Observation Billing & Documentation Guidelines

- Facility Fee – Clinic Visits Billing & Documentation Guidelines

- An Important Message from Medicare

- Inpatient Hospital Services

- Advanced Beneficiary Notice (ABN)

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_______________________________ Our office offers Fingerprinting services to UM physicians and staff at no charge.

Monday-Friday from 10:00 AM – 12:00 PM and 2:00 PM – 4:00 PM To schedule an appointment, please call 305-243-5842.

Office of Billing Compliance

Iliana De La Cruz/Assoc Director Physician Billing Compliance

Lilian Eymann/Assoc. Director Hospital Billing Compliance

Office: (305) 243-5842 Fax: (305) 243-6487

Professional Arts Center (PAC)

Suite 404

1150 N.W. 14th Street

Miami, Florida 33136

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