Federal Regulations / Centers for Medicare & Medicaid (CMS)

Avoiding Medicare and Medicaid Fraud and Abuse (US Department of Health and Human Services, Office of Inspector General)

CMS Regulations and Guidance

CMS Press Releases

Electronic Health Record Incentive (EHR) Program Website – The most up-to-date, detailed information about the EHR incentive program provided by the Center for Medicaid and Medicare (CMS).

HIPAA Resources for Professionals

HIPAA Compliance (AMA Resource Page)

ICD-10 Codes 

ICD-10 Provider Resources

National Provider Identifier Standard and Registration

NPPES NPI Registry Look-Up

GROSS RECEIPTS TAX:

Gross Receipts Taxation of Selected Physicians Services (Benjamin C. Roybal, July 7, 2007)

NMSA 7-2-18.22 Tax credit: rural health care practitioner tax credit (2007)

NMSA 7-9-77.1  Deduction: gross receipts tax; certain medical and health care services [those paid by the federal government] (1998)

NMSA 7-9-93  Deduction; gross receipts; certain receipts for services provided by health care practitioner [those paid by managed care plans or Medicare Part C] (2004)

NMSA 7-9-96.2  Credit; gross receipts tax; unpaid charges for services provided in a hospital [uncompensated care] (2007)

NM Administrative Codes:

7.1.26  Volunteer Health Care Provider Tort Coverage

7.4.3  Control of Disease and Conditions of Public Health Significance

7.34.2 Medical Use of Cannabis – Advisory Board Responsibilities and Duties

7.34.3  Medical Use of Cannabis – Registry Identification Cards

7.34.4  Medical Use of Cannabis – Licensing Requirements for Producers, Couriers, Manufacturers and Laboratories

8.308.20  Managed Care Program Medicaid (Centennial Care) Reimbursement

13.10.13  Managed Health Care Benefits

13.10.21 Health Care Services and Provider Credentialing Required for HMOs

13.10.22   Managed Health Care Plan Compliance (includes interpreter services and clean claims payment timeline)

13.10.28  Provider Payment and Provider Credentialing Requirements (deadline tied to Clean Claims Act)

16.10.2   Occupational and Professional Licensing Medicine and Surgery Practitioners: Physicians Licensing Requirements

16.10.4   Occupational and Professional Licensing Medicine and Surgery Practitioners: Continuing Medical Education

16.10.13 Delegated use of Devices and Procedures by Medical Assistants: Cosmetic Injections

16.10.14 Management of Pain with Controlled Substances (11/30/2016)

16.10.15 Physician Assistants: Licensure and Practice Requirements (1/16/2018)

16.10.17   Occupational and Professional Licensing Medicine and Surgery Practitioners Management of Medical Records

16.12.2 Nurse Licensure

16.12.9 Nurse Practitioners – Management of Pain with Controlled Substances

16.19.20 Pharmacists – Controlled Substances

NM Forms and Materials

2017 Annual Report of the New Mexico Health Care Workforce Committee (October 1, 2017)

Advance Health Care Directive

Clean Claims – Clarification of Applicable  Interest and Time Periods for Unpaid Clean Claims (PRC Division of Insurance, Bulletin No. 2002-005, August 6, 2002)

Closing Your Practice – (NMMS/Miller Stratvert PA, June, 2016)

County Health Rankings for New Mexico – Robert Wood Johnson Foundation collaborated with the University of Wisconsin Population Health Institute to develop these rankings for each county in each state.

Credentialing Requirements for HMOs – SB 220 (2015 Legislative Session) – 45 day credentialing requirement

Legal Consent for Medical Treatment For Minors – NMMS white paper, March 24, 2015

New Mexico Prescription Monitoring Program – Any practitioner who holds a federal drug enforcement administration registration and a NM controlled substance registration shall register with the board of pharmacy to become a regular participant in PMP inquiry and reporting.

Non-Compete Clauses Physician Employment Contracts – SB325(2015 Legislation Session) & Interpretation of Timeline (May 27, 2015) & Explanation of How it Relates to NM Physicians (August 21, 2015)

Request Official Motor Vehicle Evaluation for Patient (NM Motor Vehicle Division, July 2011)

Volunteer Physician registration and liability coverage (summary of program). Register with NM Medical Reserves Corp or download application. Liability coverage provided by Tort Claims Act (NMAC 7.1.26). If you have questions regarding the provider application, please call Bobbie Mackenzie at (505) 476-8302 or email her at bobbie.mackenzie@state.nm.us. Please contact David Rodriguez (david.rodriguez1@state.nm.us) at the Health Facility Licensing and Certification Bureau regarding the form for the clinic to become certified for volunteer placement.
NM Division of Insurance

Insurance Bulletin No. 2002-005 – Clarification of Applicable Interest and Time Periods for Unpaid Clean Claims (August 6, 2002)

NM Health Plan Requirements for Clean Claims (NM Statute 59A-16-21.1)

NM Insurance Code § 59A

NM Rural Health Practitioner Tax Credit

Rural Health Care Practitioners Tax Credit Home Page

NM Statute 7-2-18.22 Tax credit; rural health care practitioner tax credit(2007)

NM Statutes:

NMSA 7-2-18.22 Tax credit; rural health care practitioner tax credit (2007)

NMSA 7-9-77.1 Deduction; gross receipts tax; certain medical and health care services [those paid by the federal government] (1998)

NMSA 7-9-93  Deduction; gross receipts; certain receipts for services provided by health care practitioner [those paid by managed care plans or Medicare Part C] ( 2004)

NMSA 7-9-96.2  Credit; gross receipts tas; unpaid charges for services provided in a hospital [uncompensated care] (2007)

NMSA 30-31-1 to 30-31-41  Controlled Substance Act

NMSA 41.5.1 to 41.5.29 Medical Malpractice Act (2009 NMSA 1978> Statutory Chapters in NM > Chapter 41 Torts > Article 5 Medical Malpractice)

NM Insurance Code §59A

59A-16-21.1  Clean Claims – Health Plan Requirements (NM Insurance Code)

NMSA 61.6.1 to 61.6.35 Medical Practice Act

Office Forms, Materials, Resources

Mid-level Practitioner Liability – Preventive Action and Loss Reduction Plan (The Doctors Company, April 2015)

Red Flag Rules Policy and Procedure (June 2009)

Red Flag Rules – Sample Office Sign (November 2009)

What You May Not Have Learned in Your Internal Medicine Residency – A guide to malpractice liability, risk management, and patient safety (The Doctors Company, sponsored by the American College of Physicians, February, 2008)