Billing/Payment
Billing Scenarios for SNF Patients
Needing Dialysis Services
Payment Issues
to M+COs
HIPAA Information for Medicare Providers
HIPAA Information for Medicare and Non-Medicare
Providers
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CMS Manuals and Transmittals
CMS Online Manual
This page includes links to the CMS Manual System (Internet-Only Manuals), Paper-Based Manuals, Program Transmittals and Program Memoranda.
ESRD Forms
Medicare National Coverage Determinations Manual
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Enrollment/Participation/Certification
Enrollment
General Information, Eligibility and Entitlement
Conditions of Participation
Survey and Certification
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Coding
Healthcare Common Procedure Coding System (HCPCS)
Alpha-Numeric HCPCS
File
ICD9-CM Coordination and Maintenance Committee This site includes links to the ICD-9 codes.
ICD-9-CM Diagnosis and Surgical Codes
-
ICD-9 Conversion Table:
A conversion table for diagnostic and procedural code changes between 1986-2004 is provided to assist users in data retrival. The table shows the date the new code became effective and its previously assigned code equivalent.
ICD-9 Coding Resources on Medlearn Effective October 1, 2003
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Policies/Regulations
Medicare Modernization Act
Medicare Modernization Updates
Quarterly Provider Update -- Regulations Published This Quarter
Quarterly Provider Update -- Renal Dialysis/ESRD Facilities
CMS-1727-P Medicare Program; "Provider Reimbursement Determinations and Appeals"
- CMS-1727-P, (adobe pdf 319Kb) Published at the Office of the Federal Register June 25, 2004
- CMS-1727-P (Microsoft Word zipped 114Kb) On Display June 24, 2004
Health Insurance Portability and Accountability Act (HIPAA)
- CMS-0045-F - HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers
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Coverage
Medicare Coverage Homepage
Medicare Coverage Database contains National Coverage Determination(NCDs), National Coverage Analyses(NCAs), and Local Medical Review Policy (LMRPs)
Medicare National Coverage Determinations Manual
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Medicare Secondary Payer
Medicare Secondary Payer Manual
Medicare Coordination of Benefits
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Program Integrity/Medical Review
Fighting Fraud and Abuse
Medicare Medical Review Program
Medicare Integrity Program
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Education
Medicare Learning Network (Medlearn)
- Order Education and training Products -- including: Web Based Training (WBT) modules, Satellite Broadcasts, Publications, CD ROMs, and VHS Videos
Frequently Asked Questions
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Research and Statistics
Demonstration Projects and Evaluation Reports
ESRD Disease Management Demonstration
ESRD CAHPS - Hemodyalysis Patient Experience of Care Survey
ESRD Clinical Performance Measures Project
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How to Stay Informed
The CMS Quarterly Provider Update
Go to CMS Mailing Lists to join a the ESRD listserv (or electronic mailing list service) to
receive news from CMS.
Open Door
Forum: ESRD and Clinical Labs
Press Releases:
CMS Media Release Search
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Contacts
Contact Your Carrier/FI
via Toll-Free Numbers and Websites -- A listing of the new toll free numbers that CMS has installed at Medicare contractor sites
CMS Regional Office Contacts
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CMS Resources
Critical Access Hospitals (CAH)
Dialysis Facility Compare
End Stage Renal Disease (ESRD) Program
Medicare Drugs
Network Organizations
Primary Causes of ESRD
Public Use Files (PUFs)
Renal Management Information System (REMIS)
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Publications
Reimbursement for Kidney Transplant - Recipient, Donor, and Lab Tests
Dialysis Coverage in
SNFs
Emergency Preparedness for Dialysis Facilities
Guide for Chronic Dialysis Facilities (pdf format 2.3 mb) Revised
2/20/03
Developing Dialysis
Facility-Specific Performance Measures for Public Reporting
(pdf format 84Kb)
Impact of Medicare Managed
Care Market Withdrawal on Beneficiaries (pdf format 151Kb)
Developing Clinical Performance Measures
For The Care Of Patients With End Stage Renal Disease
(pdf format 255Kb)
Medicaid: Perspectives
on the Past, Present, and Future (pdf format 1.1Mb)
Report to Congress (zip format 69Kb)
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Helpful Links
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NIH/NIDDK
USRDS
American Association of Kidney
Patients (AAKP)
National Kidney Foundation
Forum of ESRD Networks
ESRD Patient News and
Services
The
Medical Education Institute (MEI) is a mission-driven, non-profit
foundation dedicated to helping people with chronic diseases learn to
manage and improve their health.
Life Options is
dedicated to helping people live long and well with kidney disease. All
Life Options materials are free and can be downloaded or ordered from the
website.
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Kidney School
Polycystic Kidney Research Foundation
National Kidney Disease Education Program (NKDEP)
Home Dialysis Central
United Network for Organ Sharing
American Kidney Fund
Dialysis Facility Compare
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