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Rush Presbyterian Medical Center
University of Iowa Virtual Hospital (medical information for patients and physicians)
Health Care Compliance Association
AAMC Research Compliance Information
Baptist Health Center Corporate Compliance
Medical College of Wisconsin Compliance Office
Mercy Health System Corporate Compliance Program
University of Florida School of Medicine
University of Rochester Medical Center
Region A Carrier, HealthNow NY
Region C Carrier, Palmetto Government Benefits Administrators
Region D Carrier, CIGNA Healthcare Medicare Administration
American Association of Healthcare Adminstrative Management
American College of Healthcare Executives
American College of Physician Executives
American Health Lawyers Association
American Medical Group Association
College of Healthcare Information Management Executives
Healthcare Financial Management Association
Medical Group Management Association
Professional Association of Health Care Office Managers
The National Association for Home Care
American Medical Informatics Association
Center for Healthcare Information Management
College of Healthcare Information Management Executives
Healthcare Information and Management Systems Society
Joint Healthcare Information Technology Alliance
Journal of the American College of Surgeons
Journal of Thoracic Cardiology Surgery
New England Journal of Medicine
CMS has directed intermediaries and carriers to develop payment policies for services that are not governed by national policy. These policies, previously called Local Medical Review Policies (LMRPs) are called Local Coverage Determinations(LCDs). LMRPs are developed with input from physicians and representatives of the provider and medical community. CMS has a monthly-updated web site that gathers policies from its contractors. For more frequent updates, as well as draft policies, consult the contractor web sites below directly. Some of these web addresses link directly to the medical policies of a contractor, others link to the contractor home page. If you link to a home page, look for Medical Policies under the Provider heading in the site map.
Adminastar Federal, Inc. (Part A–IL, IN, KY, OH; Part B–IN, KY; DME Region B)Anthem Health Plans of N.H. (Vermont and New Hampshire Part A)
Anthem Health Plans of Maine, Inc.
CIGNA Healthcare Medicare Administration – Idaho, North Carolina, Tennessee – Part B
First Coast Service Options, Inc. – Florida Part A and B
Health Now (Part B–upstate NY; DMERC Region A)
HGSA (Highmark Government Services Administrators) – Part B Pennsylvania
Highmark (Veritus Medicare Services (Pennsylvania))
BCBA AL (Cahaba); Part A (Iowa, South Dakota)
BCBS MS - Part A (Louisiana, Missouri, Mississippi)
Regence Group Provider Medicare Site
Triple-S-Medicare Part B (Puerto Rico, Virgin Islands)
TriSpan Health Services (Part A – Louisiana, Mississippi, and Missouri)
Veritus Medicare Services (Pennsylvania)
Wyoming Medicare BlueCross and BlueShield
American Accreditation HealthCare/Commission
American Association of Managed Care Nurses
American Board in Managed Care Medicine
National Managed Health Care Congress
The American Association of College of Nursing
The American Association of Legal Nurse Consultants
The American Academy of Nurse Practitioners
The American College of Nurse-Midwives
The American College of Nurse Practitioners
The National Certification Board of Pediatric Nurse Practitioners and Nurses
American Association of Medical Assistants
American Academy of Physician Assistants
American Association of Public Health Physicians
The Rehabilitation Accreditation Commission
American Association of Medical Billers
Bibliography on Medicare Reimbursement for Advanced Practice Nurses
Coding and Reimbursement Network
Healthcare Billing and Management Association
Bibliography on Medicare Reimbursement for Advanced Practice Nurses
Approved Drug Products with Therapeutic Equivalence Evaluations (The Orange Book)
Centers for Disease Control and Prevention
U.S. Department of Agriculture, Food Safety and Inspection Service
Department of Health and Human Services Home Page
Environmental Protection Agency (EPA)
Food & Drug Administration (FDA)
Health Care Financing Administration
Intermediary-Carrier Directory
International Conference on Harmonization
Joint Commission on Accreditation of Healthcare Organizations
Local Medicare Review Policies (CMS)
Medical Devices-Recognized Consensus Standards
National Food Safety Initiatives
Medicare Payment Advisory Commission
National Committee for Quality Assurance
National Committee on Vital and Health Statistics
OASIS Outcome and Assessment Information Set
Provider Reimbursement Review Board
Social Security Administration
TRICARE (CHAMPUS) Information Site
National Council for Prescription Drug Programs
National Practitioner Data Bank/Healthcare Integrity and Protection Data Bank
Search Engine for Part B Providers
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