Third Party Payers

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Third Party Payers

Third Party Payers

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Medicaid

Medicaid Overview (pdf)
Economic Impact of SC Medicaid and Cigarette Tax (pdf)
2009 Medicaid DSH Audit Questions and Answers (pdf)
2008 Medicaid Managed Care Data Book (pdf)
State Audit Contractor for Medicaid - HMS
- HMS Provider Contact Form (.doc)
- Frequently Asked Questions & Answers (pdf)
- HMS Provider Education Slides (pdf)
- Hospital Audit Related Acronyms (pdf)
- Medicaid Request for Proposal (pdf)
- Amendment/Scope of Work (pdf)
Medicaid Integrity Program (MIP)
- CMS MIP Presentation November 2008 (pdf)
- Link to CMS Medicaid Fraud and Abuse (link)
Link to CMS State Medicaid Director Letters (link)
Medicaid Program; Disproportionate Share Hospital Payments - Final Audit Rule (pdf)

Medicare

OPPS Final Rule for 2010 Summary (pdf)
IPPS Summary Final Rule 2009 (pdf)
IRF 2009 Final Rule Summary (pdf)
SNF 2010 Final Rule Summary (pdf)
2010 Patient Guide Medicare Outpatient Observation (.doc)
2010 through 2006 - 5 Years Medicare Deductible & Coinsurance Amounts (pdf)
CMS Hospital Center
CMS Survey Death Report Worksheet July 2008
Inpatient Only Procedures:
- Medicare Inpatient Only Procedures - 2010 (pdf)
- Medicare Inpatient Only Procedures - 2009 (pdf)
- Medicare Inpatient Only Procedures - 2008 (pdf)
2005 - 2009 Medicare Premiums, Coinsurance and Deductible Amounts
Patient Discharge Status Code History (pdf)
2008-2009 Patient Guide Medicare Hospital Observation
Recovery Audit Contractor (RAC):
CMS Beneficiary/Patient Medicare Notices

SC Department of Vocational Rehabilitation