Medicare Claims Processing Manual
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS018912
DOWNLOAD PDF LINKS AVAILABLE
General Billing Requirements
Admission and Registration Requirements
Inpatient Hospital Billing
Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Part B Outpatient Rehabilitation and CORF/OPT Services
Inpatient Part A Billing and SNF Consolidated Billing
SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)
Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims
Rural Health Clinics/Federally Qualified Health Centers
Home Health Agency Billing
Processing Hospice Claims
Physicians/Nonphysician Practitioners
Radiology Services and Other Diagnostic Procedures
Ambulatory Surgical Centers
Ambulance
Laboratory Services
Drugs and Biologicals
Preventive and Screening Services
Durable Medical Equipment, Prosthetics, Orthotics and Supplies
Medicare Summary Notices
Remittance Advice
Fee Schedule Administration and Coding Requirements
General EDI and EDI Support Requirements, Electronic Claims and Coordination of Benefits Requirements, Mandatory Electronic Filing of Medicare Claims
Completing and Processing the Form CMS-1450 Data Set
Completing and Processing Form CMS-1500 Data Set
Contractor Instructions for CWF
Coordination With Medigap, Medicaid, and Other Complementary Insurers
Appeals of Claims Decisions
Financial Liability Protections
ANSI X12N Formats Other Than Claims or Remittance
Billing Requirements for Special Services
Miscellaneous Hold Harmless Provisions
Reopening and Revision of Claim Determinations and Decisions
Independent Diagnostic Testing Facility
Competitive Bidding
Department of Veterans Affairs (VA) Claims Adjudication Services Project
Emergency Preparedness Fee-For-Service Guidance
Opioid Treatment Programs
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS018912
DOWNLOAD PDF LINKS AVAILABLE
General Billing Requirements
Admission and Registration Requirements
Inpatient Hospital Billing
Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Part B Outpatient Rehabilitation and CORF/OPT Services
Inpatient Part A Billing and SNF Consolidated Billing
SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)
Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims
Rural Health Clinics/Federally Qualified Health Centers
Home Health Agency Billing
Processing Hospice Claims
Physicians/Nonphysician Practitioners
Radiology Services and Other Diagnostic Procedures
Ambulatory Surgical Centers
Ambulance
Laboratory Services
Drugs and Biologicals
Preventive and Screening Services
Durable Medical Equipment, Prosthetics, Orthotics and Supplies
Medicare Summary Notices
Remittance Advice
Fee Schedule Administration and Coding Requirements
General EDI and EDI Support Requirements, Electronic Claims and Coordination of Benefits Requirements, Mandatory Electronic Filing of Medicare Claims
Completing and Processing the Form CMS-1450 Data Set
Completing and Processing Form CMS-1500 Data Set
Contractor Instructions for CWF
Coordination With Medigap, Medicaid, and Other Complementary Insurers
Appeals of Claims Decisions
Financial Liability Protections
ANSI X12N Formats Other Than Claims or Remittance
Billing Requirements for Special Services
Miscellaneous Hold Harmless Provisions
Reopening and Revision of Claim Determinations and Decisions
Independent Diagnostic Testing Facility
Competitive Bidding
Department of Veterans Affairs (VA) Claims Adjudication Services Project
Emergency Preparedness Fee-For-Service Guidance
Opioid Treatment Programs