Billing/Payment
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.
Medicare National Coverage Determinations Manual
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Enrollment/Participation/Certification
Enrollment
Federally Qualified Health Centers
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
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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 -- Federally Qualified Health Centers
- 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
Medlearn Matters Frequently Asked Questions
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Research and Statistics
Exclusions from SNF PPS - Issue Paper (pdf format 23Kb)
Oklahoma 1115(a) Research and Demonstration Waiver Response to CMS (pdf format 53Kb
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How to Stay Informed
The CMS Quarterly Provider Update
CMS Quarterly Provider Update - Federally
Qualified Health Centers
Go to CMS Mailing Lists to join the Federally Qualified Health Center (FQHC) listserv (or electronic mailing list service) to receive news
from CMS.
Open Door Forum: Rural Health and Federally Qualified Health Centers (FQHC)
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)
Medicare Drugs
Therapy Resources
Medicaid Services
Rural Health Home Page
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Publications
Medicaid: Perspectives
on the Past, Present, and Future (pdf format 1.1Mb)
Rural Health Center Fact Sheet (pdf format 47Kb)
Sole Community Hospital - (pdf format 40Kb) Fact Sheet
Federally Qualified Health Center Fact Sheet (pdf format 55Kb)
Critical Access Hospital Program - (pdf format 112Kb) Fact Sheet
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Helpful Links
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