Compliance Resources

Official and professional references supporting coding compliance, documentation integrity, audit readiness, privacy, and revenue protection.

Compliance Resource Categories

Use these curated links as starting points, then verify the current effective date, governing authority, payer policy, and organizational requirements before applying guidance.

Federal Regulations & Compliance

OIG compliance guidance, advisory opinions, enforcement resources, and CMS code-set standards.

Coding & Documentation

Official ICD-10-CM, CPT, HCPCS, NCCI, coverage, and documentation references.

Medicare & Medicaid

CMS manuals, learning resources, coverage policies, and program-integrity guidance.

Revenue Integrity

Billing, claims processing, payment systems, medical necessity, and denial-prevention references.

Fraud, Waste & Abuse

Federal fraud alerts, exclusion screening, self-disclosure, and enforcement references.

HIPAA & Privacy

Privacy, Security, Breach Notification, enforcement, and cybersecurity resources.

Professional Organizations

Professional education and industry resources from AAPC, AHIMA, HCCA, and ACDIS.

Audit Tools

Sampling, NCCI, coverage, exclusion, and federal audit-support tools.

AI Tools & Governance

Federal and industry resources for responsible AI use, governance, privacy, and oversight.