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Reference Guide for Medicare Physician & Supplier Billers (April 2004) Helping Front Office Personnel Navigate Medicare Rules for Part B Claims Processing
Section:	PDF File Size:
Disclaimer	432 Kb
Preface	486 Kb
Section 1: Intro to Medicare	2.26 Mb *
Section 2: Becoming a Provider	1.51 Mb *
Section 3: Submitting Claims	1.52 Mb *
Section 4: Fraud & Abuse	1.37 Mb *
Section 5: Troubleshooting Claims	1.93 Mb *
Section 6: Intro to HIPAA	1.25 Mb *
* = Please note file size before downloading
Reference A: Provider Specialty Codes	21 Kb
Reference B: Form CMS-1500	134 Kb
Reference C: Form Crosswalk	100 Kb
Reference D: Beneficiary Questionaire	32 Kb
Reference E: POS Codes	228 Kb
Reference F: Claim Adjustment Codes	486 Kb
Reference G: RA Remark Codes	115 Kb
Reference H: Glossary	30 Kb
Reference I: Acronyms	145 Kb
Reference J: Websites/Phone Numbers	98 Kb
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• What Physicians and Other Suppliers Should Know About Medicare Overpayments - A two sided tri-fold brochure (August 2004) ( 19Mb) Please note file size before downloading



• Medicare Provider/Supplier Web Pages - A two sided trifold brochure ( 9Mb)
  Please note file size before downloading



• The Medicare Medical Review Program(September 2004) ( 590Kb) New



• New Enrollee Rights, New Provider Responsibilities in MA Program ( 100Kb)
  




• The Medicare Appeals Process: Five Levels to Protect Physicians and Other Suppliers - Brochure (October 2004) ( 232Kb) Updated



• Power Wheelchair Coverage Overview (February 2004) ( 2MB, please note filesize before downloading)



• Medicare Enrollment for Institutional Providers ( 366 Kb).



• Medicare Enrollment for Physicians, Practitioners, and Suppliers ( 341 Kb).



• The CMS Online Manual System: A Web-based Manual System for Providers, Contractors, and State Agencies - A two sided trifold brochure Updated April 2004 ( 553Kb)



• Available Transcripts (from Satellite Broadcasts)

• Medicaid At-A-Glance 2003 - 12 page brochure ( 1.2Mb)
  Please note file size before downloading

• The Medicare-Medicaid Relationship - Brochure (August 2004) ( 7.8Mb)
  Please note file size before downloading

• Diabetes Brochure ( 120Kb)



• Glaucoma Awareness Brochure - if you have questions about Glaucoma and Medicare, this brochure may have the answer ( 15 Kb)



• Women's Health (Updated February 2004) ( 1.2Mb; Note the filesize before downloading)



• Osteoporosis, Diabetes and Prostate Cancer - A Guide to Billing Bone Density Studies, Diabetes Self Management Training Services and Prostate Screening Services (Updated July 2004) ( 245Kb)



• Adult Immunizations - A Guide to Billing Influenza and Pneumococcal Vaccinations (Updated July 2004) ( 1Mb; Note the filesize before downloading)

• Collecting, Submitting, and Updating Beneficiary Insurance Information For Clinical Laboratories - Fact Sheet (April 2004) ( 390Kb)



• Complying with Medicare Secondary Payer Requirements - Fact Sheet (March 2004) ( 569Kb)



• Collecting, Submitting, and Updating Beneficiary Insurance Information to Medicare - Fact Sheet (March 2004) ( 430Kb)



• When Medicare is the Primary Payer - Fact Sheet (March 2004) ( 508Kb)



• What Doctors need to know about Advance Beneficiary Notice (ABN)   Brochure ( 6.88Mb)  Print Version  ( 6.87Mb)
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Medlearn Matters...Information for Medicare Providers

• Reimbursement for Kidney Transplant - Recipient, Donor, and Lab Tests ( 44Kb)

• Clinical Laboratory Improvement Amendments (CLIA) - Brochure (June 2004) ( 585Kb)

• Updated Final Rule Fact Sheet ( 483Kb) Revised: June 2004



• Short-Stay Outliers Fact Sheet ( 466Kb) Revised: June 2004



• Interrupted-Stay Fact Sheet ( 828Kb) Revised: June 2004



• High Cost Outliers Fact Sheet ( 835Kb) Revised: June 2004

• Federally Qualified Health Center - Fact Sheet (May 2004) ( 55Kb)
  



• Rural Health Clinic - Fact Sheet (May 2004) ( 43Kb)
  



• Sole Community Hospital - Fact Sheet (June 2004) ( 40Kb)
  



• Critical Access Hospital Program - Fact Sheet (May 2004) ( 112Kb)

• Teaching Physician Services: Guidelines for Teaching Physicians and Residents; brochure
  Sept 2004 ( 371Kb) New
• Protecting Your Practice: Referral of Patients and Ordering of Services/Items; brochure
  Sept 2004 ( 136Kb) New
• Physicians Edition: Medicare & You 2004 (Revised January 2004) ( 10Mb; Note the filesize before downloading)



• Medicare Resident & New Physician Guide: Helping Health Professionals Navigate Medicare. Seventh Edition August 2003 ( 4.16Mb; Note the filesize before downloading)
  • Order a hard copy version of the publication Medicare Resident & New Physician Guide: Helping Health Professionals Navigate Medicare. Seventh Edition August 2003
    • Content Updates - Medicare Resident & New Physician Guide: Helping Health Professionals Navigate Medicare, Seventh Edition August 2003.