ICD-10 updates, Fraud, Waste, and Abuse Training, Booklets and Prevention

We try to share useful information as we come across it. Below are some links that we think may be of interest to our audience such as: ICD-10 updates, Fraud, Waste, and Abuse Training, Booklets, and Prevention. We have also included some videos from YouTube. Be sure to follow the guidelines set forth and do not let hindsight get you in trouble.

ICD10 Code sets revised:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ICD9-10CM-ICD10PCS-CPT-HCPCS-Code-Sets-Educational-Tool-ICN900943.pdf

This is about 88 minutes, we thought it had some good content. Web-based Fraud, Waste, and Abuse Training:

https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

Medicare Fraud-Abuse Booklet:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

Medicaid Fraud Prevention:

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education

For those who do not think they are serious about this, here is a link for enforcement:

https://oig.hhs.gov/fraud/enforcement/?type=criminal-and-civil-actions

OIG Compliance Resource Portal:

https://oig.hhs.gov/compliance/

Evaluation and Management Services Guide:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval_mgmt_serv_guide-ICN006764TextOnly.pdf

OIG Videos:

False Claims Act https://www.youtube.com/watch?v=BbZ78QTLztQ&list=PLkw9IKOokUiIjlyjm7wsvZd31z0U8QxxP&index=42&t=26s

Federal Anti-Kickback Statute https://www.youtube.com/watch?v=a4KhqqeAaUg&list=PLkw9IKOokUiIjlyjm7wsvZd31z0U8QxxP&index=43&t=9s

Physician Self-Referral Law

Exclusion Authorities and Effects of Exclusions

How to use the LEIE Online and Downable Databases

Eye on Oversight: Kick Backs to Physicians

Eye on Oversight: Medicare Part D Fraud

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