MediRegs Compliance Suite

Transcription

1 MediRegs Compliance Suite A Comprehensive Compliance & Reimbursement Research Portal Whether you are implementing a new compliance program or want to maintain or enhance your current one, the MediRegs Compliance Suite from Wolters Kluwer Law & Business enables your organization to quickly access the information needed to make informed compliance and reimbursement decisions. Recognizing that not all compliance and research needs are the same, the Compliance Suite offers three products that provide the compliance data and search capabilities that correspond to your needs: Regulation Suite (RS), Compliance & Regulation Suite (CRS), and Compliance & Regulation Suite Plus (CRSP). Designed to seamlessly integrate into the workflow of the compliance professional, MediRegs Compliance Suite is the ultimate research solution, providing a user-friendly workspace, with enhanced features* including: An intuitive interface created specifically to dovetail with a compliance officer s workflow for fast and easy access to information Targeted search capabilities including CMS manual and transmittal searches, CFR/ FR searches by citation, agency; SSA and titles 21 and 42 of the USC; local and national coverage determinations Tabbed workspaces that align with MediRegs ComplyTrack Risk Assessment question libraries (RAM) and Audit Detail Manager (ADM) including: Compliance Libraries Compliance Program Guidance (CPG) Conditions of Participation (COP) Reimbursement Audit Icons for specific subjects, provider types, tools, and agencies for ease in locating data Hyperlinks to collections or information by agency, document type and subject matter Week in Review news alerts: general and predefined alerts to keep you abreast of activities that may affect your organization Access to Wolters Kluwer s CCH and Aspen titles Advanced tools and calculators relative to compliance and billing needs DEVELOPED FOR Health Care Executives Compliance Officers Fraud Specialists Privacy Officers Risk Managers Reimbursement Specialists Risk Analysts Auditors Regulatory-based roles I love the new Compliance and Regulation Suite! It s easy to use, full of good information, concise, and easy to navigate through. It just may be perfect. Diane Pringle CHS Compliance/Privacy Officer, Conemaugh Health System Utilized by more than 1,000 hospitals, law firms, consulting organizations and agencies including the Centers for Medicare and Medicaid Services and the Office of Inspector General, Compliance Suite provides a robust solution, empowering them to make quick, informed decisions while streamlining their workflow processes. It can do the same for your organization. *List includes features available across the Compliance Suite. Please reference individual product information for product-specific features.

2 MediRegs Compliance Suite Wolters Kluwer Law & Business with its major product lines CCH, Aspen Publishers, and MediRegs combines powerful enterprise-level software with expertly collected and edited compliance content to provide a complete solution for proactively managing compliance, audit and risk throughout your health care enterprise. The Compliance Suite s intuitive interface is designed specifically to dovetail with a compliance officer s workflow, for fast and easy access to information MediRegs Compliance Suite Which product in the Suite best suits your needs? Regulation Suite (RS) Compliance & Regulation Suite (CRS) Compliance & Regulation Suite Plus (CRSP) Designed for Compliance analysts, reimbursement analysts, risk analyst, regulatorybased roles Compliance officers, reimbursement analysts, fraud specialists, privacy officers, and auditors. Compliance officers, reimbursement analysts, fraud specialists, privacy officers, and auditors that require all coding resources. Benefits A simple, cost effective way to keep informed of the latest federal and state regulatory updates and manual changes. Conduct quick, high-level searches. A robust collection of compliance and reimbursement data in one location. Includes the ability to conduct targeted searches and leverage specific tools and calculators. Ideal for compliance program reviews, accreditations. A premium resource designed to accommodate the most complex compliance research needs, including focus on audit and denial management research. Includes additional licensed content for decision support, complex coding issues, and high-level payment calculators. Please see our individual product sheets for a complete listing of State Data coverage, Compliance, Coding and Reimbursement Resources, and Tools/Calculators available for each product type CCH Incorporated

3 MediRegs Regulation Suite (RS) A Cost-Effective Regulation Research Portal To keep informed of the latest federal and state regulatory updates and manual changes, you need the ability to conduct quick, high-level searches without spending a lot of money. The MediRegs Regulation Suite from Wolters Kluwer Law & Business allows you to obtain the information you need with a solution that is both user-friendly and cost-effective. Features Include: An intuitive interface created specifically to dovetail with a an analyst s workflow, for fast and easy access to information Targeted search capabilities including CMS manual and transmittal searches, CFR/ FR searches by citation, agency; local and national coverage determinations Icons for specific subjects, provider types, tools, and agencies for ease in locating data Hyperlinks to collections or information by agency, document type and subject matter Utilized by more than 1,000 hospitals, law firms, consulting organizations and agencies including Centers for Medicare and Medicaid Services and the Office of Inspector General, MediRegs Compliance Suite products provide a robust solution, empowering them to make quick, informed decisions while streamlining their workflow processes. It can do the same for your organization. DEVELOPED FOR Compliance analysts Reimbursement analysts Risk analysts Regulatory-based roles ACCESS TO THE DATA YOU NEED TO MAKE INFORMED DECISIONS State Data Regulations, Legislation and Medicaid Compliance Resources CFR and Federal Register 42 CFR Public Health 45 CFR Public Welfare CMS Federal Register (1991 Current year) Daily Federal Register Table of Contents HHS Federal Register (1991 Current Year) SSA Federal Register (1991 Current Year) Veterans Affairs Federal Register (2002 Current Year) CMS Manuals, FAQ s, Program Memos, Forms The Regulation Suite offers easy CFR & FR Citation search functionality CCH Incorporated

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5 MediRegs Compliance & Regulation Suite (CRS) A Comprehensive Compliance & Reimbursement Research Portal Quickly access the information you need to make informed compliance and reimbursement decisions with the MediRegs Compliance & Regulation Suite (CRS) from Wolters Kluwer Law & Business. Designed to seamlessly integrate into the workflow of compliance professionals, CRS is an all-inclusive research portal with powerful search functionality and extensive content. With a deep collection of compliance and reimbursement data in one location, CRS offers the ability to conduct targeted searches and leverage specific tools and calculators. Ideal for compliance program reviews and accreditations, the user-friendly solution includes: An intuitive interface created specifically to dovetail with a compliance officer s workflow, for fast and easy access to information Targeted search capabilities including CMS manual and transmittal searches, CFR/ FR searches by citation, or agency; SSA and titles 21 and 42 of the USC; local and national coverage determinations Tabbed workspaces that align with MediRegs ComplyTrack Risk Assessment question libraries (RAM) and Audit Detail Manager (ADM) including: Compliance Libraries Compliance Program Guidance (CPG) Conditions of Participation (COP) Reimbursement Audit Icons for specific subjects, provider types, tools, and agencies for ease in locating data Hyperlinks to collections or information by agency, document type and subject matter Week in Review news alerts: general and predefined alerts to keep you abreast of activities that may affect your organization Access to Wolters Kluwer s CCH and Aspen titles Advanced tools and calculators relative to compliance and billing needs Utilized by more than 1,000 hospitals, law firms, consulting organizations and agencies including the Centers for Medicare and Medicaid Services and the Office of Inspector General, Compliance Suite provides a robust solution, empowering them to make quick, informed decisions. DEVELOPED FOR Compliance Officers Reimbursement Analysts Fraud Specialists Privacy Officers Auditors State Data Regulations, Legislation and Medicaid State Contractor LCDs and Bulletins Archived LMRPs and LCDs Compliance Resources 340B Drug Discount Program Centers for Disease Control and Prevention Clinical Laboratory Resources CMS Manuals, FAQ s, Program Memos, Forms Complete Federal Register Comprehensive Agency Libraries (OIG, OSHA, CDC, FDA, FTC, IRS) DOD and VA - FR, CFR and Manuals Drug Reimbursement Resources Emergency Preparedness and Bioterrorism Health Care Industry Analyses HHS Research Compliance HIPAA, PPS, AKS, Stark, EMTALA, and Quality Libraries Inpatient Hospital Resources National Correct Coding Policy NIH Research Compliance Outpatient Hospital Resources Part D Prescription Drug Program Library Physician Resources Public Laws Select CMS libraries, DOJ and GAO Resources Skilled Nursing Facility Resources SSA U.S. Code

6 MediRegs Compliance & Regulation Suite (CRS) Coding and Reimbursement Resources Codebooks Guidance for Coders (excludes CodingClinic or CPT Asst or Changes) Fee schedules The Compliance & Regulation Suite allows you to search SSA and titles 21 and 42 of the USC directly......or search by provider type to obtain the information you need immediately. Tools and Calculators MediRegs User Resources APC Grouper Beta MS-DRG Grouper Code Explorer Code Pair Check Drug Lookup MS-DRG Calculator MS-DRG Grouper NPI/UPIN/DEA RVU Calculator Wolters Kluwer Law & Business with its major product lines CCH, Aspen Publishers, and MediRegs combines powerful enterprise-level software with expertly collected and edited compliance content to provide a complete solution for proactively managing compliance, audit and risk throughout your health care enterprise CCH Incorporated

7 MediRegs Compliance & Regulation Suite Plus (CRSP) A Comprehensive Compliance & Reimbursement Research Portal with Enhanced Search and Content When the most complex compliance and reimbursement situations arise, you need immediate access to information and analysis tools to make informed decisions. Whether for audit and detail management research or additional licensed content for decision support, the MediRegs Compliance & Regulation Suite Plus (CRSP) from Wolters Kluwer Law & Business offers the premium resources you require. Designed to seamlessly integrate into the workflow of compliance professionals, CRSP is an all-inclusive research portal with advanced search functionality across deep content. With a robust collection of compliance, reimbursement, and coding data in one location, CRSP offers the ability to conduct targeted searches and leverage enhanced tools and calculators. Ideal for advanced compliance program reviews and accreditations, the user-friendly solution includes: An intuitive interface created specifically to dovetail with a compliance officer s workflow, for fast and easy access to information Targeted search capabilities including CMS manual and transmittal searches, CFR/ FR searches by citation or agency; SSA and titles 21 and 42 of the USC; local and national coverage determinations Tabbed workspaces that align with MediRegs ComplyTrack Risk Assessment question libraries (RAM) and Audit Detail Manager (ADM) including: Compliance Libraries Compliance Program Guidance (CPG) Conditions of Participation (COP) Reimbursement Audit Icons for specific subjects, provider types, tools, and agencies for ease in locating data Hyperlinks to collections or information by agency, document type and subject matter Week in Review news alerts: general and predefined alerts to keep you abreast of activities that may affect your organization Access to Wolters Kluwer s CCH and Aspen titles Expansive coding and reimbursement resources, including advanced tools and calculators Utilized by more than 1,000 hospitals, law firms, consulting organizations and agencies including the Centers for Medicare and Medicaid Services and the Office of Inspector General, Compliance Suite provides a robust solution, empowering them to make quick, informed decisions. DEVELOPED FOR Compliance Officers Reimbursement Analysts Fraud Specialists Privacy Officers Auditors that require coding resources State Data Regulations, Legislation and Medicaid State Contractor LCDs and Bulletins Archived LMRPs and LCDs Compliance Resources 340B Drug Discount Program Centers for Disease Control and Prevention Clinical Laboratory Resources CMS Manuals, FAQ s, Program Memos, Forms Complete Federal Register Comprehensive Agency Libraries (OIG, OSHA, CDC, FDA, FTC, IRS) DOD and VA - FR, CFR and Manuals Drug Reimbursement Resources Emergency Preparedness and Bioterrorism Health Care Industry Analyses HHS Research Compliance HIPAA, PPS, AKS, Stark, EMTALA, and Quality Libraries Inpatient Hospital Resources National Correct Coding Policy NIH Research Compliance Outpatient Hospital Resources Part D Prescription Drug Program Library Physician Resources Public Laws Select CMS libraries, DOJ and GAO Resources Skilled Nursing Facility Resources SSA US Code

8 MediRegs Compliance & Regulation Suite Plus (CRSP) Coding and Reimbursement Resources Codebooks Guidance for Coders Fee schedules AHA Coding Clinic: HCPCS AHA Coding Clinic: ICD-9-CM AMA CPT Assistant AMA CPT Take advantage of coding and reimbursement resources such as HCPCS and CPT Codebook Tools and Calculators Advanced Code Explorer APC Grouper Beta MS-DRG Grouper CCH Coding Comply CCH IPF Calculator CCH IPPS Calculator Wolters Kluwer Law & Business with its major product lines CCH, Aspen Publishers, and MediRegs combines powerful enterprise-level software with expertly collected and edited compliance content to provide a complete solution for proactively managing compliance, audit and risk throughout your health care enterprise. The Anti-Kickback Statute Reference Library is just one of the many compliance resources available to you with the Compliance & Regulation Suite Plus CCH Incorporated