Pharmacist Center

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Content Section

Spotlights

There are no Spotlights at this time.

Medicare Learning Network (MLN) Spotlights

Go to the Spotlight page for the latest MLN products and announcements! Check it often!

Important Links

Billing / Coding

DMERC Fee Schedule
ABN Form (CMS-R-131)
Healthcare Common Procedure Coding System (HCPCS)
ICD-9-CM Coordination and Maintenance Committee
Includes links to the ICD-9 codes
Claim Adjustment Reason and Remittance Advice Remark Codes The latest HIPAA codes are available at the Washington Publishing Company (WPC) Website.

Coverage / Enrollment

Prescription Drug Coverage - Pharmacy
Medicare Coverage
Enrollment
For More Information, go to the DME Center
Information for Medicare Fee-for-Service Providers for the National Provider Identifier (NPI)

Education

Manuals / Transmittals

CMS Manual System
CMS Internet-Only Manuals
Program Transmittals
Medicare Benefit Policy Manual (Chapter 15, Section 110)
Medicare Claims Processing Manual (Chapter 20 - Durable Medical Equipment, Prosthetics, Orthotics and Supplies)
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 (DME Reference List in Part 4, Section 280.1)

How to Stay Informed

Pharmacy Open Door Forum
Press Releases: CMS Media Release Search

Contacts

Contact Your MAC/FI/ Carrier
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 Contractor (COBC)

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