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Clinical Laboratory Information |
Highlights |
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"Medlearn Matters...Information for Medicare Providers"articles are designed to help providers understand new or changed Medicare policy |
Billing/PaymentClinical Laboratory Fee Schedule Payment for New Clinical Laboratory Tests for 2005 Laboratory Public Meeting: Payment New Clinical Laboratory Tests (adobe pdf 28Kb) - Registration Closed Electronic Data Interchange (EDI)(Billing)- Medicare information on electronic transactions under HIPAA |
DemonstrationsDemonstration Project For Competitive Acquisition of Clinical Laboratory Services |
Policies/RegulationsCMS-1266-N (adobe pdf 52Kb) - Medicare Program; Public Meeting in Calendar Year 2004 for New Clinical Laboratory Tests Payment Determinations (Published 5/28/04) Negotiated Rulemaking: Coverage and Administrative Policies for Clinical Diagnostic Laboratory Services
Medicare Claims Processing Manual, Chapter 16 - Laboratory Services Quarterly Provider Update -- Clinical Diagnostic Laboratories Regulations Published This Quarter CLIA: Clinical Laboratory Improvement Amendments Health Insurance Portability and Accountability Act (HIPAA)
Social Security Act: 1833(h)(1)(A) |
CodingNational Correct Coding Edits
Coding & Payment Determinations for Clinical Laboratory Tests |
Enrollment/Participation |
CoverageMedicare Coverage Database contains National Coverage Determination(NCDs), National Coverage Analyses(NCAs), and Local Medical Review Policy (LMRPs) Medicare National Coverage Determinations Manual Laboratory National Coverage Determinations (NCDs) Index: Laboratory NCDs Notices and Instructions
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Medicare Secondary Payer |
Program Integrity/Medical Review |
EducationMedicare Learning Network (Medlearn): using the Internet as a learning resource Medlearn Matters...Information for Medicare Providers -- Articles are designed to help providers understand new or changed Medicare policy. Medicare Learning Network Publications
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CMS Manuals and TransmittalsCMS Online ManualThis page includes links to the CMS Manual System (Internet-Only Manuals), Paper-Based Manuals, Program Transmittals and Program Memoranda.
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ContactsContact Your Carrier/FI |
How to Stay InformedThe CMS Quarterly Provider Update Open Door Forum: ESRD and Clinical Laboratories Press Releases: CMS Media Release Search |
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