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Content Section
- 2009 Part B Drug CAP Announcement (posted September 10, 2008)
Medicare is statutorily required to adjust payments for physician fee schedule services to account for differences in costs due to geographic location. There are currently 89 different localities which have not been revised since 1997. In the CY 2009 Physician Fee Schedule notice of proposed rulemaking which was released on June 30, 2008, we indicated that we would post on the CMS website a preliminary study of several options for revising the payment localities. The report entitled: "Review of Alternative GPCI Payment Locality Structures," which was produced by Acumen, LLC under contract to CMS. Our study of possible alternative payment locality configurations is in the early stages of development. At this time we are not proposing to make any changes to the payment localities. We encourage interested parties to submit comments on the options presented in the report as well as suggestions for other options. These comments will be considered in the development of possible future notice and comment rulemaking. When we are ready to propose any changes to the locality configuration, we will provide extensive opportunities for public comment (for example, a town hall meeting or open door forum) on specific proposals before implementing any change. Electronic comments on the interim report may be submitted to CMS_MPFS@cms.hhs.gov until October 20, 2008. - Physician Self-Referral and Hospital Ownership Disclosure Provisions in the IPPS FY 2009 Final Rule (posted August 5, 2008)
- New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008 through December 31, 2008 (posted July 16, 2008)
- CMS-1403-P - Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2009. On display at the Federal Register June 30, 2008 with a publication date of July 7, 2008. CMS-1403-CN was published on August 1, 2008.
Medicare Learning Network (MLN) Spotlights Go to the What's New page for the latest MLN products and announcements! Check it often! |
| - CMS Recognized P-C IOLS and A-C IOLs [PDF, 12KB]
- PFS Carrier Specific Files
- PFS Relative Value Files
- PFS National Payment Amount File
- Electronic Data Interchange (EDI)
- National Correct Coding Initiative
- Physician Fee Schedule
- Medicare Physician Fee Schedule Look-up
- Sustainable Growth Rate for Medicare Payments to Physicians
- Medicare Competitive Acquisition Program for Part B Drugs and Biologicals
- Medicare Fee-for-Service Part B Drugs
- Medicare Information for Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs)
- Consolidated Billing for Skilled Nursing Facility -- Background Information
- Consolidated Billing for Skilled Nursing Facility Services -- Payment Information
- Telehealth
- Section 1011 - Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens
- About Medicare Participation: Information about accepting assignment; includes the form CMS-460 [PDF, 90KB]
- Participating Physician Directory
- Medicare Physician Enrollment
- Enrollment Applications
- Survey and Certification
- PFS Federal Regulation Notices
- Medicare Modernization Act
- Quarterly Provider Update
- Practicing Physicians Advisory Council (PPAC)
- Physicians Regulatory Issues Team (PRIT)
- Physician Self-Referral
- Emergency Medical Treatment and Labor Act (EMTALA)
- Medicare Learning Network (MLN)
- MLN Educational Web Guides
- MLN Matters Articles...Information for Medicare Providers (Search)
- MLN Products
- Preventive Services - Information on various activities geared toward disease prevention and health promotion
- Preventive Services Educational Resource
- Adult Immunization - Provider Resources
- Medicare Coverage
- Medicare Coverage Database
- Medicare National Coverage Determinations Manual
- Alpha-Numeric HCPCS File
- ICD9-CM Coordination and Maintenance Committee
- ICD-9-CM Diagnosis and Surgical Codes
- Modifier 59: Proper Usage Regarding Distinct Procedural Service [PDF, 20KB]
- National Correct Coding Edits for Physicians
- Documentation Guidelines for Evaluation and Management Services
- Practice Administration Information Resource for Medicare
- Claim Adjustment Reason and Remittance Advice Remark Codes The latest HIPAA codes are available at the Washington Publishing Company (WPC) Website.
| - CMS Manual System
- Internet-Only Manuals
- Physician Specific Program Transmittals
- CMS Program Transmittals
- Carriers Manual -- Crosswalks from Paper-Based Manuals to Internet-Only Manuals
- To receive changes to the CMS Quarterly Provider Update, subscribe to the CMS-QPU Listserv from the CMS Mailing Lists Page.
- Medicare National Coverage Determinations Manual
- Information for Providers
- Part D Formulary Information for Physicians
- Information for Medicare Fee-for-Service Providers for the National Provider Identifier (NPI)
- Provider Reimbursement Manual (Pub 15)
- Provider Reimbursement Review Board
- Anesthesiologists Center
- Pharmacist Center
- Ophthalmology Resource Information
- Medicare Secondary Payer Manual
- Medicare Coordination of Benefits
- Physician Self-Referral
- Beneficiary Complaint Response Program
- Specialty Hospital Issues
- Deficit Reduction Act of 2005 Report to Congress
- Specialty Hospital Advisory Opinions of 2005
- Specialty Hospital Advisory Opinions of 2004
- Physician Quality Reporting Initiative
- Beneficiary Notices Initiative (BNI)
- Physicians Regulatory Issues Team (PRIT)
- Contact Your Carrier/FI [ZIP, 28KB]
via Toll-Free Numbers and Websites -- A listing of the new toll free numbers that CMS has installed at Medicare contractor sites - Quality Improvement Organizations
- CMS Regional Offices
- Contacting the Coordination of Benefits Contractor (COBC)
- Organ Procurement Directory
- Physicians Open Door Forum
- Press Releases: CMS Media Release Search
- CMS Health Care Industry Market Update: A series of reports on the health care industry.
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- American Indian/Alaska Native Center
- End Stage Renal Disease (ESRD) Center
- Legislative Affairs Center
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- Ombudsman Center
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- Partnering with CMS Center
- People With Medicare & Medicaid Center
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