CMS Resources
These links take you out of the WPS Medicare Website
- Approved Transplant Centers
This Website provides a list of facilities that are certified for Medicare payment of transplants for non-renal organs, along with the effective date of such certification. It includes a list of the Medicare Approved Transplant Centers for Heart, Lung and Heart-Lung, Liver, and Intestinal. - Centers for Medicare & Medicaid Services (CMS) Website
- COBA Medigap Claim-Based IDs on CMS' Coordination of Benefits Website (06/25/07)
- CMS Central Provider Page
CMS wants to ensure providers and health care practitioners have quick access to accurate Medicare program information. In keeping with this goal, the provider-specific pages located at this site are a one-stop resource focused on the informational needs and interests of Medicare providers, including physicians and other practitioners. - CMS DMEPOS Competitive Bidding Website
- CMS Frequently Asked Questions
Check out the latest information on any topic through this useful CMS Website. See what subjects other providers have asked for clarification on, see CMS responses, print or e-mail them to others, or submit your own questions. You can search by pre-set categories and topics, or by your own words and phrases. Check regularly for the most up-to-date FAQs. - CMS Internet-Only Manual System
At this CMS site, you will have access to the entire CMS online manual system. Effective October 1, 2003, CMS transitioned from a paper-based manual system to a Web-based system. This system is called the CMS Online Manual System and currently consists of six parts: (1) The Internet-Only Manuals (IOMs), (2) Future IOM Updates, (3) Program Transmittals, (4) Crosswalks, (5) Paper-Based Manuals, and (6) Program Memoranda. The preparation for the transition included streamlining, updating, and consolidating the various CMS program instructions (i.e., day-to-day operating instructions, policies, and procedures) into an electronic Web-based system for all users. - CMS Listservs
The CMS Electronic Mailing Lists (listservs) can help you with your business! For more details, download the Fact Sheet from the CMS
Website. - CMS Medicare Coverage Database
This Website contains a wealth of coverage information for your use. Several national databases are available on the site that allow you to search and view current and retired policies and coverage articles for any Medicare contractor, including Wisconsin Physicians Service (WPS). In addition, you can access the minutes from the Medicare Coverage Advisory Committee (MCAC) meetings, as well learn how the Medicare Modernization Act (MMA) affected Medicare policy. - CMS Medicare All Fee-For-Service Provider Information Site
Looking for information based on your provider type? This page has links to pages for Provider/Supplier Types, Provider/Supplier Resources, Educational Resources, and much more. - CMS NPI Website
- COBC Trading Partner Customer Service Point-of-Contact List
- Competitive Acquisition for Part B Drugs & Biologicals
Visit this CMS Website and scroll to the bottom of the page to download the Beneficiary Fact Sheet for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals. Physicians who elect to participate in the CAP are required to provide the CAP Beneficiary Fact Sheet to Medicare beneficiaries who are receiving certain Part B physician-administered drugs. - Documentation Guidelines - Evaluation and Management Services
For detailed E & M guidelines please check out the "Documentation Guidelines - Evaluation and Management Services" from both 1995 and 1997. Additional E& M and much more general Medicare information can be found in CMS' 2007 Medicare Physician Guide by clicking here.
- Evaluation & Management (E& M) Services Guide
Provides E& M services information regarding medical record documentation, ICD-9-CM diagnosis codes, CPT codes, and key elements of service. For the 1995 and 1997 Documentation Guidelines for Evaluation and Management Services, see Chapter 5 of the Medicare Physician Guide located on the CMS Website at:
http://www.cms.hhs.gov/MLNProducts/downloads/Chapter5.pdf - Federal Register
- Forms
- HIPAA Information on the Centers for Medicare & Medicaid Services Website
- HIPAA Information on the US Dept. Of Health and Human Services-Office for Civil Rights Website
- ICD-9-CM Codes
- IT Professionals
Medicare Remit Easy Print Software download information. - Manuals
This link brings you to the CMS Website where you can search and view various Medicare manuals, such as the Coverage Issues Manual and the Internet-Only Manuals. - Medicare Carriers Manual
CMS new Internet Only Manual is the most up-to-date information - the Medicare Carriers Manual should be used for information that has not yet been crosswalked to the IOM. - Medicare Contractor Provider Satisfaction Survey (MCPSS)
- CMS MCPSS
- Medicare Learning Network (MLN)
- Medicare Physician Fee Schedule Information
- Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals (previously titled Medicare Resident & New Physician Guide: Helping Health Care Professionals Navigate Medicare)
Once you are on the CMS MLN Products Web page, scroll down to select the link for "Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals (previously titled Medicare Resident & New Physician Guide: Helping Health Care Professionals Navigate Medicare)" The Medicare Physician Guide offers general information about the Medicare Program, becoming a Medicare provider or supplier, Medicare payment policies, Medicare reimbursement, evaluation and management documentation, protecting the Medicare Trust Fund, inquiries, overpayments, and appeals. - Medicare Secondary Payer Fact Sheets
CMS offers four new Medicare Secondary Payer (MSP) fact sheets helpful in explaining provider/billing clerk responsibilities. These fact sheets are available on the Medlearn Web page and cover issues such as MSP requirements, how to determine the primary payer, and guidelines for collecting, submitting, and updating beneficiary insurance information. - MLN Matters...Information for Medicare Providers
The Centers for Medicare & Medicaid Services (CMS) and your Medicare Learning Network (MLN) introduces MLN Matters...Information for Medicare Providers, a new educational resource for Medicare Providers. MLN Matters...Information for Medicare Providers is designed to inform you of important changes to the Medicare system in a user-friendly format that will accommodate your busy schedule - National Provider Identifier (NPI)
At this Website, all providers may apply for their National Provider Identifier through Fox Systems. This Website also provides further information about the NPI. The NPI will replace health care provider identifiers in use today (e.g. UPIN) in standard health care transactions. Beginning May 23, 2005, all health care providers can apply for their National Provider Identifier. All HIPAA-covered entities except small health plans must begin using the NPI on May 23, 2007; small health plans have until May 23, 2008. - Physicians Information Resource for Medicare
- Provider/Supplier Enrollment Website
- Quarterly Provider Update
- Regulations & Guidance
- Remittance Advice Guide
A Medicare Learning Network (MLN) guide which provides information about the types of RAs, the purpose of the RA and the types of codes that appear on the RA is available here. - Transmittals
This link brings you to the CMS Website where you can search and view various Medicare transmittals, such as the Program Transmittals, which transmit revisions for specific manuals. - Zip Code Changes and Zip Codes Requiring +4 Ext Files
At this Website, you will find an assortment of CMS resources, such as manuals, an acronym finder, MLN, HIPAA information, the Medicare Physician Fee Schedule, Frequently Asked Questions, and much more.
At this Website you will find a wide variety of CMS forms as well as filing instructions. Some of the forms available through this link are the CMS-1500, CMS-1450 (UB-92), and CMS-1491 forms.
This Website offers the latest HIPAA news, educational materials, Frequently Asked Questions, a glossary of terms, links to various other Websites and many other HIPAA-related resources.
This Website contains HIPAA fact sheets, instructions on how to file a health information privacy complaint, educational materials, Frequently Asked Questions, information on The Privacy Rule and many other HIPAA-related resources.
This CMS Website contains the new, revised, and deleted ICD-9-CM diagnosis codes that are effective for dates of service on or after October 1, 2003.
This Website was established in response to increased Medicare health care professional usage of the Internet as a learning resource. The MLN site includes interactive Web-based Medicare learning courses, Satellite broadcasts, quick-reference guides, publications and many other tools to keep you up-to-date on Medicare.
The Medicare Physician Fee Schedule Database (MPFSDB) or 'Database' is a great resource for information on whether a code is covered by Medicare. This resource is designed to provide information on services included in the Medicare Physician Fee Schedule (MPFS). It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.) Please click here to view or print off the Key to the MPFSDB Indicators. The full National Physician Fee Schedule Payment Amount File is available by following this link.
A central Medicare resource for physicians, this Website offers a Physician Listserv (electronic mailing list), information about participation in the Medicare program, an Advance Beneficiary Quick Reference Guide, HIPAA information, and many other useful tools for the provider community.
Furnishes you with access to provider/supplier enrollment forms, specific requirements for provider/supplier types, manual instructions, troubleshooting, contact information, hot topics, and other pertinent information.
The Quarterly Provider Update is a comprehensive resource published by CMS on the first business day of each quarter. It is a listing of all non-regulatory changes to Medicare, including Program Memoranda, manual changes, and any other instructions that could affect providers. Regulations and instructions published in the previous quarter are also included in the Update. At this Website, you can also sign up for the Quarterly Provider Update listserv (electronic mailing list) to receive notification via your e-mail when regulations and program instructions are added throughout the quarter.
Page Last Updated: Monday, 09-Jun-2008 13:34:13 CDT
