New This Month (June 2015) June 01, 2015
What's new?
Article Payment Jurisdiction for Services Subject to the Anti-Markup Payment Limitation
Article Diagnoses Codes Screening Pap Smears (Rev. 1472, 04-07-08)
Article Type of Bill and Revenue Codes for Form CMS-1450 for Screening Pap Smears (Rev. 827, 07-03- 06)
Article MSN Messages for Screening Pap Smears (Rev. 1, 10-01-03)
Article Remittance Advice Codes for Screening Pap Smears
Article Screening Pelvic Examinations (Rev. 1541, 09-23-08)
Article Screening Pelvic Examinations on and After July 1, 2001 (Rev. 1, 10-01-03)
Article Deductible and Coinsurance for Screening Pelvic Examinations (Rev. 1541, 09-23-08)
Article Diagnoses Codes for Screening Pelvic Examinations (Rev. 440, 07-05-05)
Article HIPAA Standards for Claims
Article Payment Method for Screening Pelvic Examinations (Rev 440, 07-05-05)
Article Claims Processing Instructions for Payment Jurisdiction
Article Revenue Code and HCPCS Codes for Billing for Screening Pelvic Examinations (Rev. 827, 07-03- 06)
Article MSN Messages for Screening Pelvic Examinations (Rev. 440, 07-05-05)
Article Remittance Advice Codes for Screening Pelvic Examinations (Rev. 440, 07-05-05)
Article Prostate Cancer Screening Tests and Procedures (Rev. 1, 10-01-03)
Article Definitions for Prostate Cancer Screening Tests and Procedures (Rev. 1, 10-01-03)
Article Deductible and Coinsurance for Prostate Cancer Screening Tests and Procedures (Rev. 1, 10-01-03)
Article Payment Method - FIs and Carriers for Prostate Cancer Screening Tests and Procedures (Rev. 795, 04-03-06)
Article Correct Coding Requirements for Carrier Claims for Prostate Cancer Screening Tests and Procedures (Rev. 1, 10-01-03)
Article HCPCS, Revenue, and Type of Service Codes for Prostate Cancer Screening Tests and Procedures (Rev. 795, 04-03-06)
Article Diagnosis Coding for Prostate Cancer Screening Tests and Procedures (Rev. 1, 10-01-03)
Article Outpatient Hospital Mammography Payment Table (Rev. 1070, 01-02-07)
Article Payment for Computer Add-On Diagnostic and Screening Mammograms for FIs and Carriers (Rev. 1070, 01-02-07)
Article Critical Access Hospital Payment (Rev. 1070, 01-02-07)
Article CAH Screening Mammography Payment Table (Rev. 1070, 01-02-07)
Article SNF Mammography Payment Table (Rev. 1070, 01-02-07)
Article Billing Requirements – FI/A MAC Claims (Rev. 1519, 06-30-08)
Article RHC/FQHC Claims With Dates of Service on or After January 1, 2002 (Rev. 1070, 01-02-07)
Article FI Requirements for Nondigital Screening Mammographies (Rev. 1070, 01-02-07)
Article FI Data for CWF and the Provider Statistical and Reimbursement Report (PS&R) (Rev. 1070, 01-02-07)
Article Billing Requirements – Carrier/B MAC Claims (Rev. 1931, 06-14-10)
Article Part B Carrier Claim Record for CWF (Rev. 60, 01-09-04)
Article Carrier and CWF Edits (Rev. 1070, 01-02-07)
Article Transportation Costs for Mobile Units (Rev. 1, 10-01-03)
Article Instructions When an Interpretation Results in Additional Films (Rev. 1070, 01-02-07)
Article Mammograms Performed With New Technologies (Rev. 1070, 01-02-07)
Article MSN Messages (Rev. 298, 09-25-04)
Article Remittance Advice Messages (Rev. 1387, 04-07-08)
Article Screening Pap Smears (Rev. 1, 10-01-03)
Article Pap Smears On and After July 1, 2001 (Rev. 1, 10-01-03)
Article Deductible and Coinsurance (Rev. 1, 10-01-03)
Article Payment Method for RHCs and FQHCs for Screening Pap Smears (Rev. 795, 04-03-06)
Article HCPCS Codes for Billing for Screening Pap Smears (Rev. 795, 04-03-06)
Article Durable Medical Equipment Medicare Administrative Contractors (DME MAC) Designation for Indian Health Services (Rev. 1040, 09-11-06)
Article Overview of Medicare Part B Services for Indian Health Services (Rev. 2075, 01-28-11)
Article Medicare Part B Services for Indian Health Services (Rev. 2075, 01-28-11)
Article Provider Enrollment with Carrier for Indian Health Services (Rev. 1027, 09-11-06)
Article Entities Enrollment for Indian Health Services (Rev. 1040, 09-11-06)
Article Individual Practitioners Enrollment for Indian Health Services (Rev. 1643, 03-09-09)
Article Multiple Sites Enrollment for Indian Health Services (Rev. 1040, 09-11-06)
Article Reassignment for Indian Health Services (Rev. 1040, 09-11-06)
Article Mobile Units for Indian Health Services (Rev. 1040, 09-11-06)
Article Mobile Mammography Units for Indian Health Services (Rev. 1040, 09-11-06)
Article Clinical Laboratory, Ambulance and Medicare Part B Drugs for Indian Health Services (Rev. 1040, 09-11-06)
Article Provider Enrollment with FI for Indian Health Services (Rev. 1040, 09-11-06)
Article Provider Enrollment with FI - Ambulatory Surgical Services for Indian Health Services(Rev. 1325; 01-07-08)
Article Provider Enrollment with FI - Services Under Arrangements for Indian Health Services (Rev. 1040, 09-11-06)
Article Provider Enrollment with DME MAC for Indian Health Services (Rev. 1040, 09-11-06)
Article NSC Supplier Number for Indian Health Services (Rev. 1040, 09-11-06)
Article Reporting Requirements and Specifications for Indian Health Services (Rev. 1040, 09-11-06)
Article Incentive Payments for Indian Health Services (Rev. 1040, 09-11-06)
Article Covered Medicare Part B Services That May Be Paid to IHS Providers, Physicians and Practitioners (Rev. 1040, 09-11-06)
Article Carrier - Medicare Part B Physician and Practitioner Services Paid Under the Medicare Physician Fee Schedule (MPFS) - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier - Claims Processing Requirements for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier - Ambulance Services - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier – Ambulance Services - Claims Processing (Rev. 1040, 09-11-06)
Article Carrier - Vaccines and Vaccine Administration - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier - Vaccines and Vaccine Administration - Coverage Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier - Screening and Preventive Services for Indian Health Services (Rev. 2075, 01-28-11)
Article Carrier - Clinical Laboratory Services - Payment Policy for Indian Health Services (Rev. 2075, 01-28-11)
Article Carrier - Clinical Laboratory Services - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier – Medical Nutrition Therapy (MNT) - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier – MNT - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article Dual Eligibility for Indian Health Services (Rev. 1040, 09-11-06)
Article Carrier Claims Processing and Payment Policy for ASC Claims for Indian Health Services (Rev. 1325; 01-07-08)
Article DME General Information for Indian Health Services (Rev.2075, 01-28-11)
Article Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Payment Policy for Indian Health Services (Rev. 2075, 01-28-11)
Article Licensure to Dispense Drugs for Indian Health Services (Rev. 1040, 09-11-06)
Article Payment for Indian Health Services (Rev. 1040, 09-11-06)
Article Services Billed to the DME MAC for Indian Health Services (Rev. 1040, 09-11-06)
Article Prosthetics, Orthotics and Supplies Billed to the A/B MAC for Indian Health Services (Rev. 1957; 10- 04-10)
Article General Claims Processing Rules for DMEPOS for Indian Health Services (Rev. 1040, 09-11-06)
Article A/B MAC (A) Payment Policy and Claims Processing for Indian Health Services (Rev. 3049, 09-23-14)
Article FI - Medicare Part B Services Paid Under Various Fee Schedules for Indian Health Services (Rev. 2075, 01-28-11)
Article FI - Medicare Part B Services Included in the All Inclusive Rate (AIR) for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Inpatient Acute Care - Medicare Part A - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article A/B MAC (A) - Inpatient Acute Care - Medicare Part A - Claims Processing for Indian Health Services (Rev. 3049, 09-23-14)
Article FI - Physician Acknowledgement Statement for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Social Admissions for Indian Health Services (Rev. 1446, 07-07-08)
Article FI - Inpatient Ancillary Services - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1511; 06-23-08)
Article FI - Inpatient Ancillary Services - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1776, 01-04-10)
Article FI - Swing-bed for Indian Health Services (Rev. 1040, 09-11-06)
Article Swing-bed – Medicare Part A - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article Swing-bed – Medicare Part A - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Swing-bed - Inpatient Ancillary Claims - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1511; 06- 23-08)
Article FI - Swing-bed - Inpatient Ancillary Claims - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Outpatient - Medicare Part B - Payment Policy for Indian Claims Processing (Rev. 1511; 06-23-08)
Article FI - Outpatient - Medicare Part B - Claims Processing for Indian Health Services (Rev. 2075, 01-28-11)
Article FI - Ambulatory Surgical Center (ASC) - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1325; 01-07-08)
Article FI - ASC - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1325; 01-07-08)
Article FI - Critical Access Hospital (CAH) Inpatient - Medicare Part A - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - CAH Inpatient - Medicare Part A - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - CAH Ancillary Services -Medicare Part B - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - CAH Ancillary Services - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1776, 01-04-10)
Article FI - CAH Swing-bed - Medicare Part A - Payment Policy for Indian Health Services (Rev. 1325; 01-07-08)
Article FI - CAH Swing-bed - Medicare Part A - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - CAH Swing-bed - Inpatient Ancillary Claims - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1325; 01-07-08)
Article FI - CAH Swing-bed - Inpatient Ancillary Claims - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - CAH Outpatient - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - CAH Outpatient - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1776, 01-04-10)
Article CAH Election of Method I or Method II for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Vaccines and Vaccine Administration - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Vaccines and Vaccine Administration - Claims Processing for Indian Health Services (Rev. 1325; 01-07-08)
Article FI - Physical Therapy, Occupational Therapy, SpeechLanguage Pathology and Diagnostic Audiology Services - Payment Policy for Indian Health Services (Rev. 1325; 01-07-08)
Article FI - Physical Therapy, Occupational Therapy, SpeechLanguage Pathology and Diagnostic Audiology Services - Claims Processing for Indian Health Services (Rev. 1325; 01-07-08)
Article A/B MAC - Ambulance Services for Indian Health Services (Rev. 2102, 04-04-11)
Article FI - Outpatient Hospital-Based Ambulance Services - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Outpatient Hospital-Based Ambulance Services - Medicare Part B - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article A/B MAC - CAH Ambulance Services - Medicare Part B - Payment Policy for Indian Health Services (Rev. 2102, 04-04-11)
Article FI - CAH Ambulance Services - Medicare Part B -Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Ambulance Services - Medicare Part A - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Other Screening and Preventive Services - Payment Policy for Indian Health Services (Rev. 2075, 01-28-11)
Article FI - Other Screening and Preventive Services - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - MNT - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - MNT - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Laboratory Services for Indian Health Services (Rev. 1040, 09-11-06)
Article FI - Drugs for Indian Health Services (Rev. 1040, 09-11-06)
Article FI--Payment for Telehealth Services to Indian Health Service/Tribal Facilities and Practitioners for Indian Health Services (Rev. 1776, 01-04-10)
Article FI – Telehealth Originating Site Facility Fee – Medicare Part B – Payment Policy for Indian Health Services (Rev. 1776, 01-04-10)
Article FI – Telehealth Originating Site Facility Fee – Medicare Part B – Claims Processing for Indian Health Services (Rev. 1776, 01-04-10)
Article FI -- Payment for Distant Site Practitioner Services for Indian Health Services (Rev. 1776, 01-04-10)
Article Audit of IHS Cost Reports (Rev. 1040, 09-11-06)
Article Method E Cost Reports for Indian Health Services (Rev. 1040, 09-11-06)
Article Critical Access Hospitals for Indian Health Services (Rev. 1040, 09-11-06)
Article Payment to Non-Indian Health Service Physicians by Indian Health Service (IHS) Providers for Teleradiology Interpretations (Rev. 1643, 03-09-09)
Article Medicare Preventive and Screening Services (Rev. 2233, 06-28-11)
Article Definition of Preventive Services (Rev. 2233, 06-28-11)
Article Table of Preventive and Screening Services (Rev. 3232, 01-05-15)
Article Waiver of Cost Sharing Requirements of Coinsurance, Copayment and Deductible for Furnished Preventive Services Available in Medicare (Rev. 2233, 06-28-11)
Article Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines (Rev. 1586, 10-06-08)
Article Coverage Requirements (Rev. 1586, 10-06-08)
Article Pneumococcal Vaccine (Rev. 3159, 02-02-15)
Article Influenza Virus Vaccine (Rev. 2253, 08-08-11)
Article Hepatitis B Vaccine (Rev. 1, 10-01-03)
Article Billing Requirements (Rev. 1586, 10-06-08)
Article Healthcare Common Procedure Coding System (HCPCS) and Diagnosis Codes (Rev. 2824, 04-07-14)
Article Bills Submitted to FIs/AB MACs (Rev. 1586, 10-06-08)
Article FI/AB MAC Payment for Pneumococcal Pneumonia Virus, Influenza Virus, and Hepatitis B Virus Vaccines and Their Administration (Rev. 1586, 10-06-08)
Article Special Instructions for Independent and Provider-Based Rural Health Clinics/Federally Qualified Health Center (RHCs/FQHCs) (Rev. 1586,10-06-08)
Article Bills Submitted to Regional Home Health Intermediaries (RHHIs) (Rev. 1586, 10-06-08)
Article Bills Submitted by Hospices and Payment Procedures for Renal Dialysis Facilities (RDF) (Rev. 1586, 10-06-08)
Article Hepatitis B Vaccine Furnished to ESRD Patients (Rev. 1586, 10-06-08)
Article Claims Submitted to Carriers/AB MACs (Rev. 1586, 10-06-08)
Article Carrier/AB MAC Indicators for the Common Working File (CWF) (Rev. 1586, 10-06-08)
Article Carrier/AB MAC Payment Requirements (Rev. 1586, 10-06-08)
Article Simplified Roster Claims for Mass Immunizers (Rev. 1586, 10-06-08)
Article Roster Claims Submitted to AB MACs for Mass Immunization (Rev. 3159, 02-02-15)
Article Centralized Billing for Influenza Virus and Pneumococcal Vaccines to Medicare Carriers/AB MACs (Rev. 1586, 10-06-08)
Article Claims Submitted to FIs/AB MACs for Mass Immunizations of Influenza Virus and Pneumococcal Vaccinations (Rev. 1586, 10-06-08)
Article Simplified Billing for Influenza Virus and Pneumococcal Vaccine Services by HHAs (Rev. 1586, 10-06-08)
Article Hospital Inpatient Roster Billing (Rev. 1586, 10-06-08)
Article Electronic Roster Claims (Rev. 1586, 10-06-08)
Article CWF Edits (Rev. 1617, 04-06-09)
Article CWF Edits on FI/AB MAC Claims (Rev. 2824, 04-07-14)
Article CWF Edits on Carrier/AB MAC Claims (Rev. 2824, 04-07-14)
Article CWF A/B Crossover Edits for FI/AB MAC and Carrier/AB MAC Claims (Rev. 2824, 04-07-14)
Article Medicare Summary Notice (MSN) (Rev. 1586, 10-06-08)
Article Mammography Services (Screening and Diagnostic) (Rev. 1387, 04-07-08)
Article Certification of Mammography Facilities (Rev. 1387, 04-07-08)
Article Services Under Arrangements (Rev. 1387, 04-07-08)
Article FDA Certification Data (Rev. 1387, 04-07-08)
Article HCPCS and Diagnosis Codes for Mammography Services (Rev. 3232, 01-05-15)
Article Computer-Aided Detection (CAD) Add-On Codes (Rev. 1070, 01-02-07)
Article CAD Billing Charts (Rev. 1070, 01-02-07)
Article Screening Digital Breast Tomosynthesis (Rev. 3232, 01-05-15)
Article - Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN) Messages (Rev. 3232, 01-05-15)
Article Mammography Services (Screening and Diagnostic) Payment (Rev. 1931, 06-14-10)
Article Payment for Screening Mammography Services Provided On and After January 1, 2002 (Rev. 1070, 01-02-07)
Article General Information about Indian Health Services
Article Carrier and FI Designation for Indian Health Services (Rev. 1325; 01-07-08)
Article MSN - Specifications for Section 1: Summary (Page 1) (Rev. 3210, 04-16-15)
Article MSN - Specifications for Header for Other Pages (Rev. 2522, 01-03-13(Final Implementation)
Article MSN - Specifications for Section 2: Making the Most of Your Medicare (Page 2) (Rev. 3210, 04-16-15)
Article Chiropractic Policy Addendum: Maintenance Therapy CR2717
Article Format Conventions for the MSN (Rev. 3210, 04-16-15)
Article Dental and Oral Surgical Procedures - UNITEDHEALTHCARE Coverage
Article General Documentation Requirements (Rev. 1, 10-01-03)
Article Written Order Prior to Delivery (Rev. 1, 10-01-03)
Article Written Order Prior to Delivery - HHAs (Rev. 1, 10-01-03)
Article Certificates of Medical Necessity (CMN) (Rev. 1, 10-01-03)
Article Completion of Certificate of Medical Necessity Forms (Rev. 2993, Upon Implementation of ICD- 10)
Article Evidence of Medical Necessity for Parenteral and Enteral Nutrition (PEN) Therapy (Rev. 1, 10-01-03)
Article Scheduling and Documenting Certifications and Recertifications of Medical Necessity for PEN (Rev. 1, 10-01-03)
Article Completion of the Elements of PEN CMN (Rev. 1, 10-01-03)
Article DMERC Review of Initial PEN Certifications (Rev. 1, 10-01-03)
Article Evidence of Medical Necessity for Oxygen (Rev. 1, 10-01-03)
Article Scheduling and Documenting Recertifications of Medical Necessity for Oxygen (Rev. 1, 10-01-03)
Article HHA Recertification for Home Oxygen Therapy (Rev. 2993, Upon Implementation of ICD- 10)
Article Contractor Review of Oxygen Certifications (Rev. 1, 10-01-03)
Article Limitations on DMERC Collection of Information (Rev. 1, 10-01-03)
Article Reporting the Ordering/Referring NPI on Claims for DMEPOS Items Dispensed Without a Physician’s Order (Rev. 1368, 04-07-08)
Article General Billing Requirements - for DME, Prosthetics, Orthotic Devices, and Supplies (Rev. 330, 04-04-05)
Article Billing/Claim Formats (Rev. 2993, Upon Implementation of ICD- 10)
Article Requirements for Implementing the NCPDP Standard (Rev. 1, 10-01-03)
Article Certificate of Medical Necessity (CMN) (Rev. 867, 04-03-06)
Article NCPDP Companion Document (Rev. 1, 10-01-03)
Article Application of DMEPOS Fee Schedule (Rev. 1, 10-01-03)
Article Pre-Discharge Delivery of DMEPOS for Fitting and Training (Rev. 1, 10-01-03)
Article Conditions That Must Be Met (Rev. 1, 10-01-03)
Article Date of Service for Pre-Discharge Delivery of DMEPOS (Rev. 1, 10-01-03)
Article Facility Responsibilities During the Transition Period (Rev. 1, 10-01-03)
Article Frequency of Claims for Repetitive Services (All Providers and Suppliers) (Rev. 1, 10-01-03)
Article DME MACs Only - Appeals of Duplicate Claims (Rev. 2993, Upon Implementation of ICD-10)
Article DME MACs – Billing Procedures Related To Advanced Beneficiary Notice (ABN) Upgrades (Rev. 2993, Upon Implementation of ICD- 10)
Article Providing Upgrades of DMEPOS Without Any Extra Charge (Rev. 2993, Upon Implementation of ICD-10)
Article Provider Billing for Prosthetic and Orthotic Devices (Rev. 2629, 02-05-13)
Article Billing for Inexpensive or Other Routinely Purchased DME (Rev. 1, 10-01-03)
Article Billing for Items Requiring Frequent and Substantial Servicing (Rev. 1, 10-01-03)
Article Billing for Certain Customized Items (Rev. 1, 10-01-03)
Article Billing for Capped Rental Items (Other Items of DME) (Rev. 1, 10-01-03)
Article Billing for Oxygen and Oxygen Equipment (Rev. 1493; 04- 07-08)
Article Oxygen Equipment and Contents Billing Chart (Rev. 1, 10-01-03)
Article Billing for Maintenance and Servicing (Providers and Suppliers) (Rev. 1, 10-01-03)
Article Installment Payments (Rev. 1, 10-01-03)
Article Showing Whether Rented or Purchased (Rev. 2993, Upon Implementation of ICD- 10)
Article Billing for Supplies and Drugs Related to the Effective Use of DME (Rev. 2993, Upon Implementation of ICD- 10)
Article Billing for HHA Medical Supplies (Rev. 1, 10-01-03)
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