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News & Publications

Here, you will find:

  • Latest News
  • News Archive
  • Provider Manual
  • Medicare Bulletin
  • Fee Schedules
  • Specialty Manuals
  • EDI Connection
  • Vendor Gazette
  • Medicare Resources Manual
  • Medicare Participating Physicians/Suppliers Database


Site Help & Contact Information

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  • Contact Information
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  • Online Help Center


FAQs

Here you will find:

  • CMS FAQs
  • EDI FAQs
  • Customer Service FAQs
  • Medical Review FAQs

Claims

Here you will find information on:

  • Modifier Finder Tool
  • Crossover Claims Resources
  • Helping Idaho Providers Resolve Medicare Claims Issues
  • Helping North Carolina Providers Resolve Medicare Claims Issues
  • Helping Tennessee Providers Resolve Medicare Claims Issues
  • Interactive Voice Response System
  • Most Common Claim Submission Errors
  • Comprehensive Error Rate Testing
  • Electronic Data Interchange (EDI)


Provider Enrollment

In this section, you will find:

  • National Provider Identifier (NPI)
  • Important Information About the Enrollment Process
  • Enrollment Package
  • Report of Providers Opted Out of Medicare
  • Checking the Status of Your Application
  • Enrollment Applications
  • Independent Diagnostic Testing Facility Guidelines
  • Medicare Redetermination Information
  • MEDPARD (Medicare Participating Physicians/Suppliers Database)
  • Program Integrity Manual
  • Provider Enrollment Information: Guidance for Completing the Enrollment Forms
  • Provider Enrollment: An Overview


Forms

Here you will find:

  • ANSI 4010A1 276/277 Companion Document
  • Network Service Vendor Agreement
  • Part B Companion Document/Trading Partner Agreement (Version 4010A1)
  • Part B Form Instructions
  • Part B EDI Enrollment Form
  • Part B EDI Customer Profile
  • Part B MCE User Agreement
  • Advance Beneficiary Notice
  • All CMS Forms
  • Medicare Secondary Payer Questionnaire
  • Overpayment Refund
  • Offset Request Form
  • Publications Order Form
  • Redetermination Request Form
  • Reopenings Adjustment Request Form
  • Enrollment Applications
  • Authorization Agreement For Electronic Funds Transfer
  • Participation Agreement


Tools

Coverage & Pricing

Here you will find:

  • Contact Information
  • Fees
  • Health Professional Shortage Areas
  • Medical Review Articles
  • Local Coverage Determinations


Education

Here you will find:

  • CMS FAQs
  • EDI FAQs
  • Customer Service FAQs
  • Medical Review FAQs


Helpful Links
  • Part B Resources
  • CMS Resources
  • Federal Government Resources
  • Local Coverage Determination Information
  • Beneficiary Resources
  • Medicare Payment Systems / Fee Schedule Information
  • HIPAA Resources
  • Trade Publications
  • Spanish Language (español) Resources for Providers
  • Miscellaneuos Resources


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