- Medicare Compliance Is Good Business (login required)
Medicare Payment Resources
Ensuring you are properly reimbursed by Medicare can be challenging. CPII has provided a wealth of resources to guide you through the most recent regulations on getting paid by Medicare. Read More
Medicaid Tamper-Resistant Prescriptions
The Centers for Medicare and Medicaid Services (CMS) have reviewed their policy with respect to tamper-resistant prescriptions and are providing two updates to that policy. Read the Update
Medicare Part D - Prescription Drug Coverage
This information will assist you in helping you and your staff understand and communicate basic information on the Part D benefit and linking you to patient-oriented materials that you can use in your offices. Learn More
The Stark Law – Self-Referral Regulations
The Stark Law is actually actually three separate provisions, and governs physician self-referral for Medicare and Medicaid patients. Here is a list of Stark Guidelines and their ramifications. The Self-Referral Regulations are available only to ACP members and requires a log in. Read the Regulations
Avoiding Medicare & Medicaid Fraud & Abuse
The U.S. Department of Health and Human Services has published a comprehensive booklet A Roadmap for New Physicians - Avoiding Medicare and Medicaid Fraud and Abuse. Read the Booklet
Medicare Compliance Action Plan
ACPs Action Plan adheres to the Office of the Inspector General's (OIG) basic adage “Do what’s good for business and you’ll do what’s good for compliance.” It provides a systematic process to follow and a record of what you have accomplished. This resource is available only to ACP members and requires a log in. Download the Action Plan
OSHA Bloodborne Pathogens Requirements
The standard’s requirements state what employers must do to protect workers who are occupationally exposed to blood or other potentially infectious materials (OPIM), as defined in the standard. Read the OSHA Bulletin
Physician Payment Sunshine Rule - Open Payments
This provision of the Affordable Care Act requires the public reporting by applicable manufacturers and Group Purchasing Organizations (GPO) of defined transfers of value to physicians and teaching hospitals. The Act also requires reporting by applicable manufacturers and GPOs of designated physician ownership and investment interests in their entities. Only applies to manufacturers and GPOs of drugs, devices, biologicals or medical supplies in which payment is available under Medicare, Medicaid or CHIP and, which requires a prescription to be dispensed. While physicians and teaching hospitals have no reporting obligations under this regulation, they do have the right to review and dispute all required information being reported about them by the applicable entity prior to this information being placed on a public website. Learn More
Can't find what you need? Contact the CPII (login required).
Multimedia Learning Resources
More Related Links:
MKSAP 16 Holiday Special: Save 10%
Use MKSAP 16 to earn MOC points, prepare for ABIM exams and assess your clinical knowledge. For a limited time save 10% when you use priority code MK16TOP2!
Will You be Stumped? Try the Consult Guys and Earn Free CME
The Consult Guys have another stumper! How would you handle this case? Watch the video and take the CME quiz.