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Table of Contents

Publication # Title
Pub. 100 Introduction
Pub. 100-1 Medicare General Information, Eligibility, and Entitlement
Pub. 100-2 Medicare Benefit Policy (basic coverage rules)
Pub. 100-3 Medicare National Coverage Determinations (national coverage decisions)
Pub. 100-4 Medicare Claims Processing (includes appeals, contractor interface with CWF, and MSN)
Pub. 100-5 Medicare Secondary Payer
Pub. 100-6 Medicare Financial Management (includes Intermediary Desk Review and Audit)
Pub. 100-7 Medicare State Operations
Pub. 100-8 Medicare Program Integrity
Pub. 100-9 Medicare Contractor Beneficiary and Provider Communications
Pub. 100-10 Medicare Quality Improvement Organization
Pub. 100-11 Reserved
Pub. 100-12 State Medicaid
(The new manual is under development. Please continue to use the Paper-Based Manual to make your selection.)
Pub. 100-13 Medicaid State Children's Health Insurance Program
(Under Development)
Pub. 100-14 Medicare End Stage Renal Disease Network
Pub. 100-15 Medicare State Buy-In
Pub. 100-16 Medicare Managed Care
Pub. 100-17 Medicare Business Partners Systems Security
Pub. 100-18 Reserved
Pub. 100-19 Demonstrations
Table of Contents
Pub. 100-20 One-Time Notification
Table of Contents
Pub. 100-21 Recurring Update Notification
Table of Contents

Pub. 15 The Provider Reimbursement Manual (PRM) includes instructions on calculating Medicare payments to hospitals and skilled nursing facilities that are reimbursed under the prospective payment system, as well as other providers that are reimbursed on a reasonable cost basis. For the time being, this manual continues to be in the Paper-Based format. The downloadable files are zipped Word files.
  Provider Reimbursement Manual (PRM)-Part I
Download (7 kb)
  Provider Reimbursement Manual (PRM)-Part II
Download (8 kb)
Use the following links for related information:
Administrator Decision Review
  Medicare Geographic Classification Review Board Information      
  PRRB Appeals Information      

View the latest actions CMS has taken to implement The Medicare Prescription Drug, Improvement and Modernization Act of 2003

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Last Modified on Tuesday, October 05, 2004  
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