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Content Section

All Fee-For-Service Providers

Spotlights

  • 2009 New Clinical Laboratory Fee Schedule Test Codes and Preliminary Determinations [PDF 36KB] (posted September 12, 2008)
  • 2009 Part B Drug CAP Announcement  (posted September 10, 2008) 
  • Medicare Provider Feedback Group (MPFG) Town Hall Meeting -- September 22, 2008 [PDF, 25KB] (posted 8/28/08) 
  • See Fact Sheet regarding "Medicare Improvements for Patients and Providers Act, 2008"  (posted 7/16/08) 
  • CMS announces the release of eight questions and answers on psychological and neuropsychological tests that are billed under the CPT code range 96101-96125.  These FAQs provide clarification on Medicare billing and payment policy for these testing codes when performed by technicians, computers, physicians, clinical psychologists, independently practicing psychologists and other eligible qualified nonphysician practitioners.  The scenarios under the FAQs also address situations where more than one of these testing codes can be billed for services furnished to the same patient.  (posted 6/18/08) 

 

Medicare Learning Network (MLN) Spotlights

Go to the What's New page for the latest MLN products and announcements!  Check it often!


Important Links
Provider/Supplier Types
  • Ambulance Service
  • Ambulatory Surgical Centers (ASC)
  • Anesthesiologist
  • Clinical Laboratory
  • Critical Access Hospital
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
  • End Stage Renal Disease (ESRD)
  • Federally Qualified Health Center (FQHC)
  • Home Health Agency
  • Hospice
  • Hospitals
  • Pharmacist
  • Physician
  • Practice Administration
  • Rural Health
  • Skilled Nursing Facility

Part D Tools for Health Care Professionals
  • Transitional Drug Coverage Toolkit for Health Care Professionals
  • An Important Message for Providers Regarding Medicare Part D from CMS Administrator, Dr. Mark McClellan (video)
  • Plan Phone Numbers (by state) for exceptions and appeals
  • Plan Formulary Finder
  • Medicare Prescription Drug Coverage Provider-Pharmacist Communications Form  (for Prescribers)
  • Model Coverage Determination Request Form for Enrollees  (4-13-06)
  • Clarification about Part B versus Part D Drug Coverage
  • Downloadable Formulary Tool
  • More Information About Exceptions and Appeals
  • Coverage of Excluded Part D Drugs by States
  • Dedicated Email/Website for Prescriber Concerns
  • Earn Continuing Education Credit - Take the Medicare Rx Training Course
  • Educational Products for Health Care Professionals and Staff
  • Beneficiary Enrollment Tools for Clinical Settings
  • Special CMS Communications for Health Care Professionals
  • Physician Part D Resource Fact Sheet
  • Model Part D Exception and Prior Authorization Request Form (for Prescribers)
Provider/Supplier Resources
  • Council on Technology and Innovation
  • Clinical Laboratory Improvement Amendments (CLIA)
  • DMEPOS Competitive Bidding
  • Emergency Medical Treatment & Labor Act (EMTALA)
  • End-Stage Renal Disease (ESRD) Center
  • Mammography Services
  • Medicare Contractor Provider Satisfaction Survey (MCPSS)
  • Medicare Provider/Supplier Enrollment
  • National Provider Identifier (NPI) Information for Medicare FFS Providers
  • NCCI Edits - Physicians
  • NCCI Edits - Hospital Outpatient PPS
  • Physician Fee Schedule Look-Up
  • Physician Quality Reporting Initiative (PQRI)
  • Practice Administration Information Resource Center
  • Pricer (Prospective Payment System)
  • Quarterly Provider Updates
  • SNF Consolidated Billing
  • Supplier Directory

Medicare Fee-for-Service Part B Drugs
  • Competitive Acquisition Program for Part B Drugs & Biologicals
  • Historical Part B Drug Pricing Files
  • Medicare Part B Drugs Average Sales Price

Educational Resources
  • Medicare Learning Network (MLN)
  • Medicare Learning Network (MLN) - What's New
  • MLN Educational Web Guides
  • MLN Matters Articles   (Search)
  • MLN Products  

Contacts
  • Contact Your Carrier/FI via Toll-Free Numbers and Websites -- A listing of the toll-free numbers that CMS has installed at Medicare FFS contractor sites.
  • Quality Improvement Organizations (QIO)
  • CMS Regional Offices
  • Contacting the Coordination of Benefits Contractors  (COBC)
  • FFS Provider Partnership Program

Mailing Lists
  • Subscribe to the Provider/Supplier listserv (or electronic mailing list) that fits your needs!

 

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