Centers for Medicare and Medicaid Services
Clinical Trial Policy - Final Decision Memo
Medicare Provider Feedback Town Hall Meeting - October 16, 2007
MedCAC Meetings: CMS Evidentiary Priorities
CMS Issues Final Rule Prohibiting Physician Self-referral
NCD for Apheresis (Therapeutic Pheresis) (110.14)
Erythropoiesis Stimulating Agents (ESAs) for non-renal disease indications
Questions and Answers related to NCD 000383: ESAs in Cancer and Neoplastic Conditions
NCA for Clinical Trial Policy
Healthcare Common Procedure Coding System (HCPCS) Update
Updated 2007 Physician Quality Reporting Initiative (PQRI) Educational Resource
NCA Tracking Sheet for Autologous Blood Derived Products for Chronic Non-Healing Wounds
CMS Updates 2005 Memorandum Analyzing the IRF Prospective Payment System and the "75 Percent Rule"
Coding for Quality- A Handbook for PQRI Participation
Emergency Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB)
Clarification of Skilled Nursing Facility (SNF) No Payment Billing
Implementation of the Carrier Jurisdictional Pricing Rules for All Purchased Diagnostic Service Claims
Revisions to the Medicare Claims Processing Manual, Chapter 17, Sections 40 and 100, Regarding Discarded Drugs and Biologicals and Submission of Claims With the Modifier JW, “Drug Amount Discarded/Not Administered to Any Patient”
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.2, Effective July 1, 2007
Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles
Public Comments for Extracorporeal Photopheresis
Update to Information Regarding Medicare Payment and Coding for Drugs and Biologicals
CMS Proposes Payment Reforms for Inpatient Hospital Services in 2008
Erythropoiesis Stimulating Agents (ESAs) for Non-renal Disease Indications
What HIPAA Does and Does Not Do
Medicare Billing Revision on UB92 Form
New Physician/Office Staff Training: Winter 2007 Registration
Revised Errata Sheets and Downloadable Versions (April 2007) of the Medicare Physician Guide
April 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy ChangesMedicare Part B Drug and Biological Average Sale Price (ASP) Payment Amounts for April 1 to June 30, 2007
MLN Matters (Number 5464): Extracorporeal PhotopheresisMLN Matters (Number 5568): Extension for Acceptance of Form CMS-1500 (12-90)MLN Matters (Number 5517): April 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2007, and Revisions to the January 2007 Quarterly ASP Medicare Part B Drug Pricing Files Revised Physician Quality Reporting Initiative (PQRI) PowerPoint Presentation - Module One
Professional Paper Claim Form (CMS-1500)
April Update to the 2007 Medicare Physician Fee Schedule Database
Medicare to Provide Beneficiaries with Information on Physician Performance
Medicare Physician Fee Schedule Fact Sheet
Changes to the 2007 Medicare Physician Fee Schedule Database
CMS Manual Instruction For Changes to 2007 Medicare Physician Fee Schedule Database
Physician Fee Schedule National Payment Amount Files
January 2007 List of Drugs Supplied Under the CAP, Corresponding NCDs, and Vendor VIN
Hospital Outpatient Prospective Payment System Fact Sheet
Decision Memo for Extracorporeal Photopheresis
Acute Inpatient Prospective Payment System Fact Sheet
The Acute Inpatient Prospective Payment System Fact Sheet, which provides general information about the Acute Inpatient Prospective Payment System (IPPS) and how IPPS rates are set, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit www.cms.hhs.gov/mlngeninfo, scroll down to "Related Links Inside CMS," and select "MLN Product Ordering Page."
New Web-based Training Course for Professional Providers
Understanding the Remittance Advice for Professional Providers Web-based training (WBT) course is now available through the Medicare Learning Network. This WBT course is designed to provide professional providers and their billing staff with general remittance advice (RA) information. This course provides instructions to help professional providers interpret the RA received from Medicare and reconcile it against submitted claims. Course participants will receive guidance on how to read Electronic Remittance Advices (ERAs) and Standard Paper Remittance Advices (SPRs). The course also provides an overview of software that Medicare provides free to providers for viewing ERAs. The course takes approximately 90 minutes to complete and participants may receive 2 CEUs for successful completion. To register to take this WBT course participants can go to the Medicare Learning Network's Product Ordering Page and click on the course title.