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Site Map for Part A: NY, CT, DE, & MA  
Categories
FolderClosed.gif (906 bytes) BILLING / PAYMENT FolderClosed.gif (906 bytes) CMS LINKS FolderClosed.gif (906 bytes) CONTACTS FolderClosed.gif (906 bytes) COST REPORTING / AUDIT AND REIMBURSEMENT FolderClosed.gif (906 bytes) COVERAGE / POLICIES FolderClosed.gif (906 bytes) ENROLLMENT / PARTICIPATION / CERTIFICATION FolderClosed.gif (906 bytes) FORMS FolderClosed.gif (906 bytes) HOW TO STAY INFORMED FolderClosed.gif (906 bytes) INITIATIVES FolderClosed.gif (906 bytes) MEDICAL REVIEW / PROGRAM INTEGRITY FolderClosed.gif (906 bytes) MEDICARE CODING FolderClosed.gif (906 bytes) MEDICARE SECONDARY PAYER FolderClosed.gif (906 bytes) PROVIDER OUTREACH AND EDUCATION FolderClosed.gif (906 bytes) REGULATIONS & GUIDELINES

  

   FolderClosed.gif (906 bytes)  BILLING / PAYMENT		 ____Goto Top of Page
          Document.gif (906 bytes) Appeals 
          Document.gif (906 bytes) CMS Forms 
          Document.gif (906 bytes) Electronic Commerce 
          Document.gif (906 bytes) Fee Schedules 
          Document.gif (906 bytes) Frequently Asked Questions 
          Document.gif (906 bytes) MDS Calendar 
          Document.gif (906 bytes) Medicare Monthly Review (CT, DE, MA, NY) 
          Document.gif (906 bytes) Medicare Program Manuals 
          Document.gif (906 bytes) MLN Matters. . . Information for Medicare Fee-for-Service Health Care Professionals 
          Document.gif (906 bytes) New Provider Page 
          Document.gif (906 bytes) Part A News 
          Document.gif (906 bytes) Part A Production Issues 
          Document.gif (906 bytes) Provider Training Tools 
          Document.gif (906 bytes) Self-Administered Drug Exclusion Directive 
          Document.gif (906 bytes) Skilled Nursing Facility (SNF) Consolidated Billing 
          Document.gif (906 bytes) Therapy Cap Exception Process 
          Document.gif (906 bytes) UPIN Registry (National Heritage Insurance Company) 

  

   FolderClosed.gif (906 bytes)  CMS LINKS		 ____Goto Top of Page
          Document.gif (906 bytes) Centers for Medicare & Medicaid Services Homepage 
          Document.gif (906 bytes) CMS Consolidated Billing Information (SNF) 
          Document.gif (906 bytes) CMS Forms 
          Document.gif (906 bytes) CMS HIPAA Page 
          Document.gif (906 bytes) CMS Job Aids 
          Document.gif (906 bytes) CMS Mailing Lists 
          Document.gif (906 bytes) CMS Provider Center 
          Document.gif (906 bytes) CMS Quarterly Provider Update 
          Document.gif (906 bytes) Frequently Asked Questions 
          Document.gif (906 bytes) HMO Listing 
          Document.gif (906 bytes) Medicare Contractor Provider Satisfaction Survey (MCPSS) - Home Study Page 
          Document.gif (906 bytes) Medicare Fee-for-Service Provider / Supplier Enrollment Information 
          Document.gif (906 bytes) Medicare Learning Network 
          Document.gif (906 bytes) Medicare Physician Fee Schedule 
          Document.gif (906 bytes) Medicare Prescription Drug Coverage Information for Providers 
          Document.gif (906 bytes) Medicare Program Manuals 
          Document.gif (906 bytes) Medicare Program Transmittals 
          Document.gif (906 bytes) MLN Matters. . . Information for Medicare Fee-for-Service Health Care Professionals 
          Document.gif (906 bytes) National Correct Coding Initiative Edits 
          Document.gif (906 bytes) National Plan and Provider Enumeration System 
          Document.gif (906 bytes) NPI Viewlet 
          Document.gif (906 bytes) Payable Codes in an Ambulatory Surgical Center (ASC) 
          Document.gif (906 bytes) Skilled Nursing Facility Prospective Payment System (SNFPPS) 
          Document.gif (906 bytes) Working with Plan Formularies: Transition Supplies, Prior Authorization, Quantity Limits, Step Therapy, and Exceptions 

  

   FolderClosed.gif (906 bytes)  CONTACTS		 ____Goto Top of Page
          Document.gif (906 bytes) Appeals 
          Document.gif (906 bytes) Beneficiary Inquiries 
          Document.gif (906 bytes) CERT 
          Document.gif (906 bytes) Holiday Schedule 
          Document.gif (906 bytes) IVANS Help Desk 
          Document.gif (906 bytes) NGS EDI Help Desk 
          Document.gif (906 bytes) Provider Inquiries 
          Document.gif (906 bytes) Provider IVR Instructions 

  

   FolderClosed.gif (906 bytes)  COST REPORTING / AUDIT AND REIMBURSEMENT		 ____Goto Top of Page
          Document.gif (906 bytes) Ambulatory Payment Classification (APC) Coinsurance Election Form Instructions and Form 
          Document.gif (906 bytes) Clarification on TOPS Payments on PS& R Reimbursement Report 
          Document.gif (906 bytes) CMS PRICER Prospective Payment System 
          Document.gif (906 bytes) Cost Report Case Study Booklets - Introduction and Form CMS 2540-96; T-11 (Skilled Nursing) 
          Document.gif (906 bytes) Cost Report Case Study Booklets - Introduction and Form CMS 2552-96 ; T-14 (Hospital) 
          Document.gif (906 bytes) Electronic Mailing List (ListServ) 
          Document.gif (906 bytes) Graduate Medical Education Review 
          Document.gif (906 bytes) Holiday Schedule 
          Document.gif (906 bytes) Intern and Resident Information System (IRIS) Edit program 
          Document.gif (906 bytes) Medicare Bad Debt Moratorium & Clarification Of Bad Debt Policy 
          Document.gif (906 bytes) New DSH Documentation 
          Document.gif (906 bytes) Nursing and Allied Health Managed Care Payment  
          Document.gif (906 bytes) Payment Calculation FY 2005, 2006, 2007, 2008 
          Document.gif (906 bytes) Periodic Interim Payment (PIP) Schedule 2004 
          Document.gif (906 bytes) Periodic Interim Payment (PIP) Schedule 2005 
          Document.gif (906 bytes) Periodic Interim Payment (PIP) Schedule 2006 
          Document.gif (906 bytes) Periodic Interim Payment (PIP) Schedule 2007 
          Document.gif (906 bytes) Periodic Interim Payment (PIP) Schedule 2008 
          Document.gif (906 bytes) Provider Statistical & Reimbursement (PS&R) Summary Reports (PDFfile) link 
          Document.gif (906 bytes) Provider Statistical & Reimbursement Crosswalk to the Cost Report 
          Document.gif (906 bytes) PS&R Data Request Form (03/05/08) 
          Document.gif (906 bytes) Sanctioned Physicians/Providers Listing 
          Document.gif (906 bytes) Template for Electronic Filing of Bad Debt Listings 
          Document.gif (906 bytes) Tracking and Reporting Procedures for Unsolicited / Voluntary Refund Checks From Providers/Suppliers - Interim Instructions 
          Document.gif (906 bytes) Wage Index 
          Document.gif (906 bytes) Wage Index and Occupational Mix Public Use File (PUF) 
          Document.gif (906 bytes) Wage Index Package (Exhibit C) pdf or Zip 
          Document.gif (906 bytes) Wage Index: FY 2008 Wage Index Letter and Timeline 
          Document.gif (906 bytes) Wage Index: Occupational Mix Survey Instructions 

  

   FolderClosed.gif (906 bytes)  COVERAGE / POLICIES		 ____Goto Top of Page
          Document.gif (906 bytes) CMS Medicare Coverage Database 
          Document.gif (906 bytes) Local Coverage Determinations 

  

   FolderClosed.gif (906 bytes)  ENROLLMENT / PARTICIPATION / CERTIFICATION		 ____Goto Top of Page
          Document.gif (906 bytes)  Provider Enrollment Revalidation Frequently Asked Questions 
          Document.gif (906 bytes) Medicare Fee-for-Service Provider / Supplier Enrollment Information 
          Document.gif (906 bytes) Provider / Supplier Enrollment 

  

   FolderClosed.gif (906 bytes)  FORMS		 ____Goto Top of Page
          Document.gif (906 bytes) Ambulatory Payment Classification (APC) Coinsurance Election Form 
          Document.gif (906 bytes) CMS Forms 
          Document.gif (906 bytes) Credit Balance form 
          Document.gif (906 bytes) Electronic Data Interchange (EDI) Enrollment 
          Document.gif (906 bytes) Electronic Funds Transfer 
          Document.gif (906 bytes) Electronic Remittance Request 
          Document.gif (906 bytes) ESRD Beneficiary Selection Form (CMS-382) 
          Document.gif (906 bytes) Health Care Provider / Supplier Application (CMS-855A) 
          Document.gif (906 bytes) IVANS CSA DIALUP 
          Document.gif (906 bytes) IVANS CSA LEASED LINE 
          Document.gif (906 bytes) IVR: Eligibility Check List  
          Document.gif (906 bytes) IVR: Touchtone Instructions 
          Document.gif (906 bytes) Local Coverage Determination (LCD) Reconsideration Form 
          Document.gif (906 bytes) Medicare Part A Logon Form 
          Document.gif (906 bytes) Medicare Reconsideration Request Form (CMS-20033) 
          Document.gif (906 bytes) Medicare Redetermination Request Form (CMS-20027) 
          Document.gif (906 bytes) MPFS Hardcopy Request Form 
          Document.gif (906 bytes) Part A IVR Flow Chart 
          Document.gif (906 bytes) Part A IVR Navigation  
          Document.gif (906 bytes) Part A Touch-Tone Instructions/Eligibility Checklist 
          Document.gif (906 bytes) PC-ACE Pro32 PC Print Software Order/Payment Form 
          Document.gif (906 bytes) Provider Statistical & Reimbursement Crosswalk to the Cost Report 
          Document.gif (906 bytes) Request for Medicare Forms (GEN1) 
          Document.gif (906 bytes) Request for Provider Statistical & Reimbursement (PS & R Data) (Revised 2/12/07) 
          Document.gif (906 bytes) Submitter Action Request Form 
          Document.gif (906 bytes) Subscribe to the Medicare Monthly Review (MMR)  
          Document.gif (906 bytes) UB-92 Form, Information, and Specifications 
          Document.gif (906 bytes) Wage Index Forms (Package) 

  

   FolderClosed.gif (906 bytes)  HOW TO STAY INFORMED		 ____Goto Top of Page
          Document.gif (906 bytes) Advisory Group Index 
          Document.gif (906 bytes) Agency for Healthcare Research and Quality 
          Document.gif (906 bytes) American Medical Association 
          Document.gif (906 bytes) Benefit Integrity Support Center 
          Document.gif (906 bytes) Electronic Mailing List 
          Document.gif (906 bytes) Federal Register 
          Document.gif (906 bytes) HHS Office of Inspector General 
          Document.gif (906 bytes) Links to Other Contractors' Web Sites 
          Document.gif (906 bytes) PC-ACE/Pro32 Bulletins 
          Document.gif (906 bytes) Qualidigm (Connecticut) 
          Document.gif (906 bytes) Quality Improvement Organizations (QIO) IPRO (New York) 
          Document.gif (906 bytes) Quality Insights of Delaware 
          Document.gif (906 bytes) Today's Health News from Reuters 
          Document.gif (906 bytes) White House Information 

  

   FolderClosed.gif (906 bytes)  INITIATIVES		 ____Goto Top of Page
          Document.gif (906 bytes) Colorectal Cancer Awareness 
          Document.gif (906 bytes) Medicare Prescription Drug Information for Providers 
          Document.gif (906 bytes) Nation Plan and Provider Enumeration System 
          Document.gif (906 bytes) National Provider Identifier 
          Document.gif (906 bytes) Working with Plan Formularies: Transition Supplies, Prior Authorization, Quantity Limits, Step Therapy, and Exceptions 

  

   FolderClosed.gif (906 bytes)  MEDICAL REVIEW / PROGRAM INTEGRITY		 ____Goto Top of Page
          Document.gif (906 bytes) Benefit Integrity Support Center 
          Document.gif (906 bytes) Comprehensive Error Rate Testing (CERT) 
          Document.gif (906 bytes) Fraud and Abuse 
          Document.gif (906 bytes) Medicare Program Integrity Manual 

  

   FolderClosed.gif (906 bytes)  MEDICARE CODING		 ____Goto Top of Page
          Document.gif (906 bytes) ICD-9-CM Codes www.eicd.com 
          Document.gif (906 bytes) National Correct Coding Initiative Edits 
          Document.gif (906 bytes) Payable Codes in an Ambulatory Surgical Center (ASC) 
          Document.gif (906 bytes) Remittance Advice 
          Document.gif (906 bytes) Search for ICD-9-CM Codes By keyword 
          Document.gif (906 bytes) Washington Publishing Company (ANSI Codes) 

  

   FolderClosed.gif (906 bytes)  MEDICARE SECONDARY PAYER		 ____Goto Top of Page
          Document.gif (906 bytes) Claim Processing Procedures when Medicare is the Primary Payer, and Medicare Secondary Payer (MSP) File(s) Exist on Common Working File (CWF)  
          Document.gif (906 bytes) Coordination of Benefits (COB) Information 
          Document.gif (906 bytes) Medicare Coordination of Benefits Contractor 
          Document.gif (906 bytes) Medicare Secondary Payer (MSP) Change in "Conditional Billing" Process 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 1, Number 1: When to Submit an MSP No-Payment Claims 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 1, Number 2: When You’re Paid Less than You Expected 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 1, Number 3: Using MSP Value Codes 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 1, Number 4: XXM Bill Types 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 1, Number 5: When MSP Claims are RTP 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 2, Number 1: When Claims RTP with Reason Code 31306 or 31307 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 2, Number 2: Valid Insurer Names on MSP Claims 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 2, Number 3: Updates to the MSP Questionnaire 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 2, Number 4: Preventing MSP-related Rejections 
          Document.gif (906 bytes) MSP Tips of the Month: Vol 2, Number 5: Preventing Duplicate Rejections  
          Document.gif (906 bytes) MSP Tips of the Month: Vol 2, Number 6: MSP Value Code Reporting 
          Document.gif (906 bytes) Primary Payer Code ID Chart 
          Document.gif (906 bytes) Sulzer Orthopedics Settlement 
          Document.gif (906 bytes) Taking the Mystery out of MSP ESRD 

  

   FolderClosed.gif (906 bytes)  PROVIDER OUTREACH AND EDUCATION		 ____Goto Top of Page
          Document.gif (906 bytes) CMS Forms 
          Document.gif (906 bytes) CMS Free Medicare Training 
          Document.gif (906 bytes) Frequently Asked Questions 
          Document.gif (906 bytes) Live Part A Provider Training 
          Document.gif (906 bytes) Medicare Monthly Review (CT, DE, MA, NY) 
          Document.gif (906 bytes) Medicare Program Manuals 
          Document.gif (906 bytes) MLN Matters. . . Information for Medicare Fee-for-Service Health Care Professionals 
          Document.gif (906 bytes) New Provider Page 
          Document.gif (906 bytes) Part A News 
          Document.gif (906 bytes) Provider Training Tools 
          Document.gif (906 bytes) Web-Based Training: Billing Therapy Modalities and Procedures CBT 
          Document.gif (906 bytes) Web-Based Training: Comprehensive Error Rate Testing 
          Document.gif (906 bytes) Web-Based Training: Fiscal Intermediary Standard System Online CBT 
          Document.gif (906 bytes) Web-Based Training: Medical Review Overview CBT 
          Document.gif (906 bytes) Web-Based Training: Outpatient Rehabilitation Services CBT 
          Document.gif (906 bytes) Web-Based Training: SNF Online Training 

  

   FolderClosed.gif (906 bytes)  REGULATIONS & GUIDELINES		 ____Goto Top of Page
          Document.gif (906 bytes) CMS Quarterly Provider Update 
          Document.gif (906 bytes) Federal Register 
          Document.gif (906 bytes) Health & Human Services (HHS) Data Council Web Site 
          Document.gif (906 bytes) Medicare Program Manuals 
          Document.gif (906 bytes) Medicare Program Transmittals 
          Document.gif (906 bytes) National Committee on Vital Health Statistics (NCVHS) Web Site