
Regulation
and Reimbursement Suite Plus™
Revenue Cycle Resources for every member of your team
Sometimes one size does not fit all.
Give your staff the right tools. From simple coding tools to robust CDM support, MediRegs® offers a spectrum of on-line coding and reimbursement resources.
Get
the Revenue Cycle Product Comparison Brief
- Focused solutions: Keep productivity high by giving each end-user just the information they need.
- Reduce redundant subscription costs: Consolidate multiple departments and specialties under a single subscription and invoice.
- Save Time: Quick coding and calculating tools designed to get you a provider or locality-specific answer in 30 seconds.
- Standardize organizational resources: One log-in for all members of your team. The entire team receives our comprehensive Week In Review.
- Deliver the right information: Each user can tailor and store searches to customize the product.
- Medicare compliant information: Trust MediRegs for coding, payment, medical necessity, compliance, and regulatory information. There are lots of products on the market which tell you what to do; MediRegs is the only one that makes it easy to figure out why.
- Rapid implementation: Self-registration, web-based tool which requires no local installation. Training & Support is on-going, and always free.
Revenue Cycle Products
Regulation & Reimbursement
Suite Plus
The ultimate on-line coding, reimbursement, compliance, regulatory and compliance resource
The ultimate on-line coding, reimbursement, compliance, regulatory and compliance resource
- For: Reimbursement specialists, audit, consultants, CDM managers, patient financial services, case management.
- Includes: Everything in the RRS product and ALSO: Licensed coding content from AMA and AHA, brand name drug and device tools, comprehensive coding archives, special "Understanding Medicare" workspaces.
- Workspaces: Designed for reimbursement.
Welcome. Coding & Payment. Coverage. Drugs & Devices. Understanding Medicare. Download Center. - Alerts: by E-mail daily showing coding changes, CMS manuals & transmittals, MLN Matters. Choose your contractor(s) for integrated LCDs plus MediRegs Week In Review newsletter.
Get
the product brief for the Regulation & Reimbursement Suite Plus
Regulation & Reimbursement
Suite
Get access to the compliance, research and reimbursement resource used by over 800 hospitals (and CMS).
Learn
more about the Regulation & Reimbursement Suite
Get access to the compliance, research and reimbursement resource used by over 800 hospitals (and CMS).
- For: Compliance and regulatory, department heads, consultants.
- Includes: Everything in Reimbursement Professional Suite product and ALSO: Legal (CFR, Federal Register, Public Laws and US Code), Enforcement (OIG and CMS), States (Medicaid, bulletins, administrative code) Medicare Guidance (complete library of CMS manuals, Medicaid, OIG, PPS, HIPAA, MMA) and so much more.
- Workspaces: Designed for compliance professionals.
Welcome. Coding. Compliance. HH/SNF/LTC. HR. Lab. Pharmacy. Clinical Trials. - Alerts: Customized (by topic and state) Daily Alerts sent to your inbox tell you “What’s New”, Comprehensive MediRegs Week-in-Review newsletter, Stored searches and persistent bookmarks.
Coding Suite
Consolidate all of your coding subscriptions into one simple, integrated, always up-to-date tool.
Consolidate all of your coding subscriptions into one simple, integrated, always up-to-date tool.
- For: Professional coders, medical records, HIM.
- Includes: Code Lookup tool plus electronic codebooks for HCPCS, CPT® codes, ICD-9-CM, APC, DRG, Physician Fee, and National Correct Coding Policy.
- Workspace: Coding.
- Alerts: Daily on-line and e-mail, showing codebook updates, CMS FAQs, MLN Matters & MediRegs Week In Review newsletter.
Reimbursement Professional
Suite
Everything you need for coding, coverage and payment work, in one elegantly-simple tool.
Everything you need for coding, coverage and payment work, in one elegantly-simple tool.
- For: Front office, scheduling, pre-certification, billing, medical records.
- Includes: Everything in Code Lookup product and ALSO: Customizable Local Coverage Determinations, APC Grouper and Calculator, DRG Grouper and Calculator, RVU Payment Calcultor, NCCI Code Pair Checking tool, and a handful of the most critical CMS Manuals.
- Workspaces: Coding. Coverage. Payment.
- Alerts: by E-mail daily showing coding changes, CMS manuals & transmittals, MLN Matters. Choose your contractor(s) for integrated LCDs plus MediRegs Week In Review newsletter.
Get
the product brief for the Reimbursement Professional Suite
Regulation & Reimbursement
Suite MD
Finally, an affordable, comprehensive tool for physician practices.
Finally, an affordable, comprehensive tool for physician practices.
- For: Physician practice coding, finance and compliance specialists.
- Includes: Everything in the RRS product EXCEPT: content is pared down and reorganized for the emphasis on physician issues. Can be purchased with licensed coding content from AMA and AHA.
- Workspaces: Welcome. Coding. Understanding Medicare. Compliance. Laboratory. Clinical Trials.
- Alerts: by E-mail daily showing coding changes, CMS manuals & transmittals, MLN Matters. Choose your contractor(s) for integrated LCDs plus MediRegs Week In Review newsletter.
Regulation & Reimbursement
Suite Rx
- A specialized "FDA meets CMS" resource that includes drug information, NDC to HCPCS crosswalking, Part B and Part D guidance as well as special workspaces for 340B and MMA. This product was developed in collaboration with experts in pharmacy CDM management and compliance.
Regulation & Reimbursement
Suite Life Science
- De-mystify coding and reimbursement for drugs and medical devices with this special version of RRS designed for life science product manufacturers. This product includes our exceptional coding, payment and coverage tools, as well as manufacturer coding guidelines, brand name device and drug lookups, FDA approval and product information resources and more.
Resources included in the Products
- Federal Legislation — U.S. Code and public laws
- Code of Federal Regulations — Ten titles, updated continuously
- Federal Register — CMS, OIG, HHS, PHS, OSHA, FDA, CDC, DEA, SSA, DOD
- State Administrative Codes and State Medicaid manuals
- CMS Manuals, Program Memos, Forms and Rulings — with methodical archiving of superseded sections
- CMS Medicaid and Managed Care Policy
- CMS Contractor LCDs and Bulletins
- OIG Reports, Advisory Opinions, Fraud Alerts, and Corporate Integrity Agreements
- FDA Guidelines and Product Approvals
- OSHA Directives, Standard Interpretations and Fact Sheets
- SSA Manuals and Rulings
- DoD TRICARE and CHAMPVA Manuals
- Court and Administrative Decisions — including all PRRB, CMS Administrator and DAB decisions, and court cases back to 1991
- GAO Reports
- Comprehensive collections of HIPAA, MMA, Part D, PPS, EMTALA and Stark information
- Reimbursement and Coding Tools
- Codes: Four years of searchable CPT® codes, NCCI, ICD-9-CM, and HCPCS
- National CPT codes to ICD-9 Crosswalk
- Excel files for fee schedules, APC Addenda and other key documents
- DRG groupers and comparative DRG pricer
- RVU calculators
- Wage indexed APC calculator
- Code pair checking
- Advance Beneficiary Notification materials
- Staff Verification Tools - Entity and individual exclusion (sanction)
database (batch and single use) and UPIN and DEA Registration Number look-up
- Entity and individual exclusion (Sanction) database
- UPIN and DEA look-up
Subscription to the Regulation & Reimbursement Suite includes daily e-mail alerts of new information, a “Week in Review” newsletter, and access to the entire Federal Register back to 1990.
Indispensable
“MediRegs has been indispensable in my work as a billing
compliance research analyst. MediRegs allows for quick access to coding,
reimbursement, and regulatory information within a single resource (often
with a single search). I particularly like the ability to obtain LCD, NCD,
CPT Assistant, CCI edit, and CMS transmittals for a given CPT/HCPC code
with a single search. This often saves me hours of research on a variety
of Web sites to obtain the same information. I also use the groupers and
calculators to obtain reimbursement information (for example, to estimate
reimbursement for new service lines and to compare various reimbursement
coding scenarios). Thanks MediRegs!!”
CPT is a registered trademark of the American Medical Association.

