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Medicare is a federal health insurance program established by Congress in 1965 to provide health care insurance for seniors and people with disabilities (added in 1972). The Medicare program has two components, Part A and Part B. Part A provides coverage for services from institutional providers such as hospitals and skilled nursing facilities. Part B provides coverage for services from physicians, non-physician practitioners, laboratories and suppliers.

What's New!

TrailBlazer Average Processing Days for CMS-855 Ap...

(Notice)

9/19/08

CWF Southwest Host Unavailable October 18, 2008

(Notice)

9/19/08

Mass adjustments to reprocess claims paid und...

(MassAdjustment)

9/19/08

Mass adjustments to reprocess ground ambulance cla...

(MassAdjustment)

9/19/08

October TrailBlazer Part B Provider Contact Center...

(Notice)

9/18/08

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Hot Topics

Emergency Preparedness - As a consequence of Hurricane Ike and its impact on the state of Texas, it was determined after consultation with public health officials that a public health emergency exists and has existed since September 7, 2008, in the state of Texas.

As a consequence of Hurricane Gustav and its impact on the states of Louisiana, Texas, Mississippi and Alabama, it was determined after consultation with public health officials that a public health emergency exists and has existed in the states of Louisiana and Texas since August 27, 2008, in the state of Mississippi since August 28, 2008, and in the state of Alabama since August 29, 2008.

Providers should visit the CMS Web site for updated information and questions and answers concerning Hurricane Gustav and Ike. http://www.cms.hhs.gov/Emergency/02_Hurricanes.asp

Reminder - Annual Update of the ICD-9-CM - The annual ICD-9-CM update is effective for dates of service on or after October 1, 2008 (for institutional providers, effective for discharges on or after October 1, 2008).

http://www.trailblazerhealth.com/Tools/Notices.aspx?DomainID=1&ID=12619

TrailBlazer's Top Areas of Interest

			Claims Processing and Billing Error Reports
			Creating and Editing a Web Profile
			Fee Schedules
			LCDs
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			Web Site Help

Important CMS Information

			Billing Procedures Related to the Medigap Claim-Based Crossover Process
			Physician Quality Reporting Initiative (PQRI)
			Web Site for Additions and Deletions of ZIP Codes Requiring a Plus Four ZIP Code Extension