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Regulation and Reimbursement Suite™

A Compliance and Reimbursement Tool for Your Entire Team

The Regulation and Reimbursement Suite is a comprehensive compliance, regulatory and reimbursement research and information portal.

[PDF] Get the product brief for the Regulation & Reimbursement Suite

Providers and healthcare industry participants are increasingly caught in a complex web of ever-changing —and sometimes conflicting —regulatory, compliance, reimbursement, and billing rules. Used by more than 800 hospitals, dozens of law firms, leading consulting organizations, and agencies such as CMS and the OIG, the Regulation & Reimbursement Suite from MediRegs is the only resource your team will need.

The Regulation & Reimbursement Suite will speed your compliance research, standardize organizational resources, reduce redundant subscription costs, and help advance proper reimbursement practices. RRS makes sure you have the evidence you need to support the decisions you make. We call this Evidence-Based Compliance™.

The Regulation & Reimbursement Suite equips your entire organization with a comprehensive, departmentally and topically organized compliance and reimbursement portal which is web-based, always-on and automatically updated. See what RRS offers your team:

  • Customized to each user’s preferences
  • Comprehensive Alerts, including Week In Review, Daily Alerts, and Stored-search alerts
  • Meticulously organized documents
  • Easy-to-use and cross-linked archives
  • Robust tools and calculators for every compliance and billing need.
  • CFR and FR citation searching
  • Document bookmarking, favorites, and sophisticated search functions.

Collections on the Regulation and Reimbursement Suite

  • 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 Medicaid materials
  • CMS Manuals, Program Memos, Forms and Rulings — including archived 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 PRRB, CMS Administrator and DAB decisions
  • GAO Reports
  • Comprehensive HIPAA, MMA, Part D, PPS, EMTALA and Stark materials
  • 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)
    • UPIN and DEA registration number 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!!”
—Nita Frazier, CPC, CPCH - OhioHealth Billing Compliance
For more information, e-mail sales@mediregs.com

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