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Related Links for New Providers and New Billers

 

Site
Information Available
http://wpc-edi.com/codes
  • Complete listing of the HIPAA Claim Adjustment Reason Codes and the Remittance Advice Remark Codes
www.medicare.gov/
  • National information on Medicare from CMS
  • A good source of information for beneficiaries, including information on the Medicare Prescription Drug Program
  • Order federal publications on Medicare
www.gpoaccess.gov/fr/
  • Code of Federal Regulations
www.oig.hhs.gov/
  • Information regarding compliance plans

Topics found within CMS' Web site: www.cms.hhs.gov
CMS’ instructions to contractors, manuals, transmittals, etc.
www.cms.hhs.gov/manuals/
Free e-mail updates from CMS: The Quarterly Provider Update
www.cms.hhs.gov/QuarterlyProviderUpdates/
Physician Web pages
www.cms.hhs.gov/center/provider.asp
Local Coverage Determinations for all Medicare contractors
www.cms.hhs.gov/mcd/index_article_bycontractor_criteria.asp
Medicare Advantage Plans (formerly called Medicare + Choice)
www.cms.hhs.gov/HealthPlansGenInfo/
Advance Beneficiary Notice (ABN) instructions and forms
www.cms.hhs.gov/BNI/01_overview.asp
CMS Mailing Lists Fact Sheet
www.cms.hhs.gov/MLNProducts/downloads/MailingLists_FactSheet.pdf (PDF, 379 KB)
Correct Coding Initiative Edits
www.cms.hhs.gov/NationalCorrectCodInitEd/
Medicare Physician Fee Schedule Look-Up
www.cms.hhs.gov/PfsLookup/

Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Information

Skilled Nursing Facility Consolidated Billing
www.cms.hhs.gov/SNFPPS/
Provider Enrollment information
www.cms.hhs.gov/MedicareProviderSupEnroll/
Information on the Medicare Modernization Act of 2003
www.cms.hhs.gov/MMAUpdate
Competitive Acquisition Program
www.cms.hhs.gov/CompetitiveAcquisforBios
Coordination of Benefits information
www.cms.hhs.gov/COBGeneralInformation/
Preventive Services
www.cms.hhs.gov/PrevntionGenInfo/
MLN Matters Articles
www.cms.hhs.gov/MLNMattersArticles/
Office of the Attorney Advisor
www.cms.hhs.gov/OfficeAttorneyAdvisor
Freedom of Information Act (FOIA)
www.cms.hhs.gov/AboutWebsite/04_FOIA.asp
Federal Advisory Committee Act
www.cms.hhs.gov/FACA/
eComments
www.cms.hhs.gov/eRulemaking/
Paperwork Reduction Act (PRA)
www.cms.hhs.gov/PaperworkReductionActof1995/

National Provider Identifier (NPI)

Prescription Drug Program

CMS FAQs
http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_alp.php?p_sid=GxFGE1ai

 

last updated on 12/21/2009
CMS