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Physician Information Resource
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Highlights |
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"Medlearn Matters...Information for Medicare Providers"articles are designed to help providers understand new or changed Medicare policy |
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Stay Informed - Go to CMS Mailing Lists to join a provider specific listserv (or electronic mailing list service) to receive news from CMS. |
Billing/PaymentCMS Files for Download for Medicare Payment Systems Electronics Data Interchange (EDI)(Billing) National Correct Coding Initiative (NCCI) Medicare Payment Systems Physician Fee Schedule Informational materials related to the Medicare Physician Fee Schedule, including regulations, payment and data files. Medicare Physician Fee Schedule Look-up - View physician service information, geographic practice cost indices and payment policy. Sustainable Growth Rate for Medicare Payments to Physicians Medicare Drug Web Page This page provides drug pricing files, program transmittals for drugs, and program memoranda. |
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.
Medicare National Coverage Determinations Manual |
Enrollment/Participation/
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Cost ReportingProvider Reimbursement Manual (Pub 15) Provider Reimbursement Review Board Speciality Web Pages |
Policies/RegulationsQuarterly Provider Update -- Physician Regulations Published This Quarter Health Insurance Portability and Accountability Act (HIPAA)
Practicing Physicians Advisory Council (PPAC) Physicians Regulatory Issues Team (PRIT) |
FormsBeneficiary Notices Initiative (BNI) |
CoverageMedicare Coverage Database contains National Coverage Determination(NCDs), National Coverage Analyses(NCAs), and Local Medical Review Policy (LMRPs) |
Medicare Secondary PayerMedicare Secondary Payer Manual Medicare Coordination of Benefits |
CodingHealthcare Common Procedure Coding System (HCPCS) Alpha-Numeric HCPCS File ICD9-CM Coordination and Maintenance Committee ICD-9-CM Diagnosis and Surgical Codes ICD-9 Coding Resources on Medlearn Effective October 1, 2003 |
InitiativesBeneficiary Notices Initiative (BNI) Preventive Services Homepage: information on various activities geared toward disease prevention and health promotion |
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. |
Program Integrity/Medical ReviewMedicare Medical Review Program |
ContactsContact Your Carrier/FI Quality Improvement Organizations Organ Procurement Directory
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How to Stay InformedThe CMS Quarterly Provider Update Go to CMS Medicare Provider Mailing Lists to join a provider specific listserv (or electronic mailing list service) to receive news from CMS. Press Releases: CMS Media Release Search CMS Health Care Industry Market Update |
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Note: Some of the files on this page are available only in Adobe Acrobat - Portable Document Format (PDF). To view PDF files, you must have the Adobe Acrobat Reader (minimum version 5, version 6 suggested). You can check here to see if you have the Acrobat Reader installed on your computer. If you do not already have the Acrobat Reader installed, please go to Adobe's Acrobat download page now. |