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Summarizing Medicare Compliance Documents

As a leader and manager, the health information administrator is responsible for communicating compliance requirements and regulations. This responsibility requires the manager to interpret compliance guidance documents, relate requirements to hospital-specific operations, create a plan of action, and execute the plan.

Go to the Medicare National Coverage Determinations Manual (Publication #100-03) located at 
to an external site.. There are four parts to the manual and numerous sections. Review the table of contents and pick an NDC to use for this assignment. It would be wise to choose a topic that is of interest to you or that you know some information about. For example, if you have a family member with diabetes, you may be interested in #100.14, Surgery for Diabetes.

You are a data analyst at Memorial Hospital. You have been charged with preparing an educational session about the NCD because your facility has been receiving denials for this service.

Your educational session will be a self-guided slide deck presentation. Your slides should be formatted so that the viewer can obtain all information from the slides with or without a voice-over (i.e., the viewer is reading the slides). Your session should contain all pertinent information about the coverage or noncoverage for the service you have chosen.

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