Beneficiary Resources & Helpful Links
- If you are a Medicare recipient and you have questions regarding the Medicare program, please visit www.medicare.gov or call 1.800.MEDICARE (1.800.633.4227 or TTY 1-877-486-2048 ).
- Medicare
Prescription Drug Coverage Information for Providers
- Public Service Announcements for Health Care Professionals: "What
Do You Say When Asked About the New Medicare Prescription
Drug Coverage?" - Horizontal
(176
K) - Public Service Announcements for Health Care Professionals: "What
Do You Say When Asked About the New Medicare Prescription
Drug Coverage?" - Vertical (401
K)
- Public Service Announcements for Health Care Professionals: "What
Do You Say When Asked About the New Medicare Prescription
Drug Coverage?" - Horizontal
- Prescription
Drug Savings from Medicare (40.5
K)
- Most TRICARE-eligible beneficiaries entitled to Medicare Part A are required by law to enroll in Medicare Part B to retain their TRICARE benefits. Please click here for more information. - 01.13.05
- Medicare
Redetermination Information
- Changes to Beneficiary Medicare Summary Notices (MSNs)
- Important change to your Medicare Summary Notices (MSN) if you are not due a payment check from Medicare.
TopPart B Resources
Idaho
Idaho Part A Intermediary:
North Carolina
- NC Medical Society
- NC Foot & Ankle Associaties
- NC Chiropractic Association
- NC Academy of Radiologists
- NC Society of Anesthesiologists
- NC Chapter of American College of Cardiology
- NC Academy of Family Practitioners
- The North Carolina Society of Eye Physicians and Surgeons
- NC College of Emergency Physicians
- NC Oncology Managers Association
- NC Chapter of American College of Surgeons
- NC Nurses Association
- NC Association of Physician Assistants
- NC Medical Group Managers
North Carolina Part A Intermediary:
Tennessee
Tennessee Part A Intermediary:
CMS Resources
- CMS Home Page
- CMS Manuals
- CMS Transmittals
- CMS Quarterly Provider Update
- CMS
HIPAA Resource Page
(General information and resources regarding HIPAA legislation) - Remittance
Advice, Reason Codes and Remark Codes
(Washington Publishing Company (WPC) assists several organizations in the maintenance and distribution of HIPAA-related code lists that are external to the X12 family of standards.) - CMS Central Provider Page
- CMS Central Supplier Page
- Centers for Medicare & Medicaid Services Medicare MCPSS page
- Coordination of Benefits Agreement (COBA) Program
- Medicare Professional and Technical Information
- Frequently Asked Questions
- Helpful Contacts Directory
- Medicare Learning Network
- Medicare HMO Directory
- Prescription Drug Coverage Information for Providers
- Physician Regulatory Issues Team (PRIT)
- Medicare Fee-For-Service Provider/Supplier Enrollment
- Medicare Payment Systems
- Medicare Prescription Drug Coverage Information for Providers
- Medicare Program Integrity Manual
- CMS Intermediary - Carrier Directory
- National Plan and Provider Enumeration System (NPPES)
- MREP Software
- Medicare Contractor Provider Satisfaction Survey (MCPSS)
- Working with Plan Formularies: Transition Supplies, Prior Authorization, Quantity Limits, Step Therapy, and Exceptions - Coming Soon!
- Medicare Acronyms List
- Competitive Acquisition for Part B Drugs & Biologicals Beneficiary Fact Sheet
- Notifying Affected Parties Regarding Changes to the Mandatory Medigap
Part A CMS Resources
- Manuals
- Transmittals
- Federal Register
- Medicare Program Integrity
- Intermediary Manual
- Provider Reimbursement Manual (Part 1)
- Provider Reimbursement Manual (Part 2)
Local Coverage Determination Information
Medicare Payment Systems / Fee Schedule Information
- Alpha-Numeric HCPCS File
- Ambulance Fee Schedule
- Ambulatory Surgical Center (ASC) Base Eligibility File
- Ambulatory Surgical Centers (ASC)
- Berenson-Eggers Type of Service (BETOS) File
- Clinical Lab Diagnostic Fee Schedule
- Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule
- End Stage Renal Disease (ESRD) Program
- Files for Download (formerly known as Public Use Files)
- Healthcare Common Procedure Coding System (HCPCS)
- Home Health Prospective Payment System
- Hospice Payment System
- Hospital Inpatient Prospective Payment System
- Hospital Outpatient Prospective Payment System
- ICD-9-CM Coordination and Maintenance Committee
- Inpatient Rehabilitation Facility Prospective Payment System
- Long-Term Care Hospitals Prospective Payment System
- Medicare PPS Excluded Cancer Hospitals
- National Physician Fee Schedule Relative Value File
- Physician Fee Schedule
- Physician Fee Schedule Payment Amount File National/Carrier
- Place of Service Coding System
- Prospective Payment System (PPS) PC PRICER
- Skilled Nursing Facility (SNF) Prospective Payment System
- Zipcode to Carrier Locality File
HIPAA Resources
- National Plan and Provider Enumeration System (NPPES)
- HIPAA Law - Administrative Simplification Provision
- Health and Human Services web site devoted to Administrative Simplification
- CMS Medicaid HIPAA - Administrative Simplification
- CMS
HIPAA Resource Page
(General information and resources regarding HIPAA legislation) - X12N Insurance Industry Implementation GuidesCenters for Medicare & Medicaid Services (HIPAA Services)
- Department of Health and Human Services Office for Civil Rights
- Department of Health and Human Services
- Medicaid HIPAA Compliant Concept Model
- National Committee on Vital and Health Statistics
- Strategic National Implementation Process (SNIP)
- The Washington Publishing Company
Other HIPAA Resources
- FREE Video - CMS' Meeting the HIPAA Challenge: Implementing the Administrative Simplifications of HIPAA. For free video, e-mail your request to AskHipaa@cms.hhs.gov or call 410-786-4232.
- FREE Listserve - http://aspe.hhs.gov/admnsimp/lsnotify.htm - Sign up to receive notification when proposed or final rules on HIPAA have been published in the Federal Register (The Federal Register is the place where the government, upon passing a law, tells the public how the law will be implemented).
- CMS HIPAA E-Mail box - askhipaa@cms.hhs.gov. Send your questions on HIPAA administrative simplification here.
- CMS HIPAA Hotline - 410-786-4232 - This hotline has been established to help answer your HIPAA administrative simplification questions.
- Privacy-related information - http://www.hhs.gov/ocr/hipaa/whatsnew.html - The U.S. Department of Health & Human Services' Office for Civil Rights oversees the privacy requirements. Visit their website for more information. Privacy-related questions should be directed to OCRPrivacy@hhs.gov or call 1-866-627-7748.
Federal Government
- The White House
- The U.S. House of Representatives
- The U.S. Senate
- Centers for Medicare & Medicaid Services
- Department of Health and Human Services (DHHS)
- Office of Management and Budget (OMB)
- Congressional Budget Office (CBO)
- General Accounting Office (GAO)
- Office of Inspector General (OIG)
- Food and Drug Administration (FDA)
- Government Printing Office (GPO)
- Administrative Simplification (HIPAA Information)
- THOMAS - U.S. Congress on the Internet
Trade Publications
Spanish Language (español) Resources for Providers
Miscellaneous Resources
- American Association for Homecare (AAH)
- American Medical Association
- AARP
- ACHC
- Administration on Aging
- Administration on Aging (español)
- AMA Physician Catalog
- Coalition for Access to Medical Services, Equipment and Technology (CAMSET)
- Centers for Disease Control and Prevention
- Community Health Accreditation Program (CHAP)
- Department of Health and Human Services
- Disability.gov
- FirstGov - Your First Click to the US Government
- FirstGov for Seniors
- Galaxy - Guide to Professional Information
- Glucosamine-Arthritis Information Center
- Joint Commission Accreditation of Healthcare organizations (JCAHO)
- Medicare Contractor Provider Satisfaction Survey (MCPSS) Home Study page
- Medicare Program Integrity Manual
- Medicare Supplier Directory
- Medicode Books and Software (ICD-9 & CPT)
- MEDPARD
- National Cancer Institute
- National Home Oxygen Patients Association
- National Institute on Aging
- National Library for the Blind and Physically Handicapped (NLS)
- Office for Civil Rights - HIPAA
- Participating Physician Directory (MEDPARD)
- Social Security Administration
- Social Security Administration (español)
- Unique Physician Identifier Numbers
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