Physician Center
Spotlights
- Vaccination is the Best Protection Against the Flu [PDF, 333KB]
- CMS-1590-P: Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Medicare Part B for CY 2013 (Including DME Face-to-Face & Non-random Prepayment Review) (Publication Date: July 30, 2012)
- Primary Care Incentive Program Payments for 2011 (posted 05/22/2012)
- Blood Clotting Factor Furnishing Fee
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
- The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of updated educational materials on Section 6407 of the Affordable Care Act of 2010, which established a face-to-face encounter requirement for certification of eligibility for Medicare home health services. See the Home Health Agency (HHA) Center part of the Spotlights section.
- Do you want to find out Medicare Fee-for-Service information quickly? Subscribe to a CMS Electronic Mailing Lists: Keeping Medicare Fee-For-Service Providers Informed [PDF, 410KB] , such as the Physicians listserv, that suits your needs!
Medicare Learning Network (MLN) Spotlights
Go to the page for the latest MLN products and announcements! Check it often!
Important Links
Billing / Payment
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
- CMS Recognized P-C IOLS and A-C IOLs [PDF, 17KB]
- PFS Carrier Specific Files
- PFS Relative Value Files
- PFS National Payment Amount File
- Electronic Billing & EDI Transactions
- National Correct Coding Initiative Edits
- Physician Fee Schedule
- Sustainable Growth Rates & Conversion Factors
- Competitive Acquisition for Part B Drugs & Biologicals
- Historical Part B Drug Pricing Files
- Physician Bonuses
- Consolidated Billing
- SNF Consolidated Billing
- Psychological and Neuropsychological Tests
- Telehealth
- Service Furnished to Undocumented Aliens
Enrollment/ Participation/ Certification
- CMS 460 (90 KB) [PDF, 216KB] About Medicare Participation: Information about accepting assignment.
- Medicare Provider-Supplier Enrollment
- Enrollment Applications
- Survey & Certification - General Information
Policies/Regulations/Legislation
- PFS Federal Regulation Notices
- Quarterly Provider Updates
- Federal Advisory Committee Act (FACA)
- Physician Regulatory Issues Team (PRIT)
- Physician Self Referral
- Emergency Medical Treatment & Labor Act (EMTALA)
Education
- MLN General Information
- MLN Educational Web Guides
- MLN Matters Articles ( Search Tips )
- MLN Products
- Prevention - General Information - Information on various activities geared toward disease prevention and health promotion
- Preventive Services
- Provider resources - Adult Immunizations
Coverage
Coding
CMS Manuals & Transmittals
- Manuals
- Internet-Only Manuals (IOMs)
- Physician Transmittals
- Transmittals
- Paper-Based Manuals -- 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.
- National Coverage Determinations (NCD) Manual - Pub. 100-03
Accountable Care Organizations Workshop
- Recordings and Transcripts for the October 5, 2010 Workshop Regarding Accountable Care Organizations, and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback, and Civil Monetary Penalty (CMP) Laws (Posted 10/19/10):
- Transcript of Morning / Opening Comments and FTC Panels [PDF, 363KB]
- Transcript of Afternoon / HHS Panel and Listening Session [PDF, 246KB]
Value-Based Purchasing Information
- "Medicare Value-Based Purchasing Program for Physician and Other Professional Services Listening Session" -- December 9, 2008: Transcript [PDF, 482KB] , Agenda [PDF, 20KB] , PowerPoint slides [ZIP, 393KB] Issues Paper [PDF, 211KB] regarding development of a Plan to transition to Medicare Value-Based Purchasing for Physician and Other Health Professional Services. The Plan was mandated by the Medicare Improvements for Patients and Providers Act of 2008.
- - Medicare Program; Plan to Transition to a Medicare Value-Based Purchasing Program for Physician and Other Professional Services: Listening Session, December 9, 2008. Published October 24, 2008.
Forms
Medicare Prescription Drug Coverage
National Provider Identifier
Cost Reporting
Specialty Web Pages
Medicare Secondary Payer
Fraud & Abuse
- Physician Self Referral
- Beneficiary Complaint Response Program
Specialty Hospitals
Initiatives
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
- Physician Compare Initiative
- Physician Quality Reporting System
- EHR Incentive Programs
- Electronic Prescribing (eRx) Incentive Program
- Beneficiary Notices Initiative (BNI)
Contacts
- Physician Regulatory Issues Team (PRIT)
- CMS Regional Offices
- Coordination of Benefits - General Information
- Organ Procurement Directory
How to Stay Informed
- Join the Listserv (or mailing list). Scroll to the right side of the page to Subscribe.
- Physicians, Nurses and Allied Health Professionals Open Door Forum
- : CMS Media Release Search
- Research Reports : A series of reports on the health care industry.