Become a Medicare Expert
You have now completed all required steps to become a Medicare Provider, but there's still a lot to learn. Please review the links and information below to learn how to file successful claims, submit required paperwork to CMS in a timely fashion, and stay up to date on Medicare processes and news.
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This index provides definitions for commonly used acronyms and Medicare terminology.
Our Provider Contact Center (PCC) is here to help answer questions and resolve issues.
File Required Reports on Time, Every Time
Credit Balance Reports
Medicare Credit Balance Reports (CMS-838) help ensure Medicare is aware of monies owed and repaid in a timely manner. Reports must be submitted within 30 days of the end of each calendar quarter.
Medicare Cost Reports (MCRs)
Medicare Costs Reports are used to track expense information for different facility types. MCRs must be submitted within five months of the provider's cost-reporting fiscal year end.
How Do I File Claims?
Submitting claims accurately is one of the most important things you will do as a Medicare provider. Our Claims section will walk you through the different ways you can file a claim, as well as help resolve any claim denials you experience.
Easy Access to LCDs and NCDs
National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) explain what items and services are covered by Medicare.
Understanding Your Remittance Advice
After your claim has been processed, you will receive a Remittance Advice containing information about your claim's payment, adjustments, denials, refunds, offsets, and more.
Filing an Appeal
Claims can be denied for a variety of reasons, but you can file an appeal if you feel it was denied incorrectly.