In This Issue:
KEY |
Part A & B Contents |
Part A |
Part B |
Title |
A |
A |
A/B MAC NEWS #1 - First Contract for a Part A/Part B MAC to Be Awarded in Near Future |
A |
A |
Announcement of a Dedicated NPI Web Page |
H,S, |
P,N,H |
Changes Conforming to Change Request 3648 for Therapy Services |
A |
A |
Claim Status Category Code and Claim Status Code Update |
A |
A |
CMS Electronic Mailing List Fact Sheet |
A |
A |
Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment |
A |
A |
Deficit Reduction Act of 2005 - Nine-Day Payment Hold |
A |
A |
Ending the HIPAA Contingency for Remittance Advice |
A |
A |
Free Print Format of the Medicare Physician Guide Now Available on the CMS Web Site |
A |
A |
Full Replacement of and Rescinding CR 3504 - Modification to Online MSP Questionnaire |
A |
A |
Important News Regarding HIPAA Contingency for Remittance Advice |
A |
A |
July 2006 Quarterly ASP Medicare Part B Drug Pricing File, Effective July 1, 2006 |
H,S |
P |
Lumbar Artificial Disc Replacement (LADR) |
A |
A |
Medicare Contractor Annual Update of the ICD-9-CM |
A |
A |
Medicare Learning Network Products for Physicians |
A |
A |
Medicare Provides Coverage for Many Preventive Services and Screenings |
A |
A |
Medicare Telehealth Services Update |
A |
A |
Medicare’s CWF Part C (Medicare Advantage Managed Care) Data Exchange and Data Display Changes |
H,S |
P,N |
New Current Procedural Terminology (CPT) Code |
A |
P,N |
Non-Autologous Blood-Derived Products for Chronic Non-Healing Wounds |
H |
S |
Payment for Islet Cell Transplantation in NIH-Sponsored Clinical Trials |
A |
A |
PTA of the Carotid Artery Concurrent with Stenting |
A |
A |
Rules Governing Provider/Clearinghouse Protection of Medicare Beneficiary Eligibility Information |
A |
A |
Teleconferences on Electronic Health Records |
A |
A |
The National Provider Identifier (NPI) Countdown Has Begun |
O |
P,N,H |
Therapy Caps Exception Process |
A |
A |
Together We Can Close the Prevention Gap! |
A |
A |
Upcoming NPI Outreach Event |
Key |
Part A Contents |
Part A |
Title |
H |
Billing of Temporary “C” HCPCS Codes by Non-OPPS Providers |
H |
Critical Access Hospital (CAH) Claims |
O |
Inpatient Rehabilitation Facility (IRF) Interrupted Stays |
A |
Instructions for Medicare Credit Balance Reporting Activities |
H |
Issue with Correct Coding Initiative Code Pair 92526/G0283 |
H |
July 2006 Update of the Hospital OPPS: Summary of Payment Policy Changes |
H |
Long-Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2007 |
H |
New Use of Hospital Issued Notice of Noncoverage (HINN) |
H |
Payment for Blood Clotting Factors Administered to Hemophilia Inpatients |
H |
Special Issues Associated with the ABN for Hospice Providers and CORF |
H |
Update to the IPF PPS for Rate Year 2007 |
A |
Use of 12X Type of Bill (TOB) for Billing Screening Mammography, Screening Pelvic Examinations, and Screening Pap Smears |
Key |
Part B Contents |
Part B |
Title |
F |
Ambulatory Surgical Center (ASC) Claims Processing Manual Clarification |
P,N,L |
Correction to CR4136: New Waived Tests |
P,N,L |
Healthcare Common Procedure Coding System (HCPCS) Correction for the Caffeine Halothane Contracture Test for Malignant Hyperthermia Susceptibility |
P |
New Temporary Codes for Adjustable Wheelchair Cushions |
P,N |
Non-Physician Practitioner (NPP) Payment for Care Plan Oversight (CPO) |
P,N |
Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests; Clinical Psychologist Services |
|
Part A Contact Information
Automated IVR Inquiries 1 (877) 567-7205
Monday - Friday 6:00 a.m. to 6:00 p.m.
Saturdays 9:00 a.m. to 2:00 p.m.
These hours represent minimum availability. System access is generally available until 10:00 p.m. on weekdays and 6:00 p.m. on weekends.
Provider Inquiries : 1 (888) 855-4356
Monday & Friday 9:00 a.m. to 4:00 p.m.
Tuesday - Thursday 8:00 a.m. to 4:40 p.m.
You will be able to transfer to a provider representative only during these hours.Please have your provider number, the HIC number and service dates available when you call.
The Provider Inquiries TTY number for the Hearing Impaired is:
1 (877) 425--2370
Monday & Friday 9:00 a.m. to 4:00 p.m.
Tuesday - Thursday 8:00 a.m. to 4:00 p.m.
Beneficiary Inquiries:
English and Spanish 1-800-MEDICARE
(1-800-633-4227)
TTY for the Hearing-Impaired: 1 (877) 486-2048
Integrated Electronic Services (IES)
Technical Help Desk: 1 (866) 889-7322
Monday - Friday from 8:30 a.m. until 4:30 p.m.
Medicare Fraud Hotline:
To report fraud and abuse in the Medicare and Medicaid programs: 1(800) HHS-TIPS/1(800) 447-8477
The Hotline TTY Number for the Hearing-Impaired is: 1(877) 623-6190
Medical Director: Dr. Ted Triana 1(315) 442-4893
Part B New Jersey Contact Information
| Beneficiary TDD: |
(800) 992-0165 |
| Beneficiary Telephone Inquiries & ARU: |
(800) 633-4227 |
| DMERC: |
(866) 419-9458 |
| EMC: |
(866) 488-0546 |
| Fax-on-Demand (FOD): |
(888) 281-8586 |
| Part B Provider IVR: |
(877) 567-9235 |
| Part B Provider Customer Service: |
(888) 855-4346 |
| Provider Enrollment: |
(866) 309-0486 |
| Provider TTY/TDD: |
(888) 897-7542 |
Provider Enrollment Mail claims to :
Empire Medicare Services
Provider Enrollment
P.O. Box 69218
Harrisburg, PA 17106-9218
|
Empire Medicare Services
Provider Claims
P.O. Box 69201
Harrisburg, PA. 17106-9201
|
Part B Appeals & Correspondence
Empire Medicare Services
P.O. Box 69202
Harrisburg, PA 17106-9202
Part B New York Contact Information
Part B Provider Telephone Inquiries (STAR)
Claim Status and information, eligibility
deductible, pricing and seminar
information: |
|
| Claim Entry (MTCE): |
(631) 244-5300 |
| Claim Entry (MTCE) Information: |
(212) 476-7934 |
| DMERC: |
(866) 419-9458 |
| EMC Technical Support Help Desk: |
(866) 889-7322 |
| Fax-on-Demand (FOD): |
(866) 709-1905 |
| General Provider Enrollment Information: |
(866) 837-0241 |
Health Professional Shortage Area (HPSA)
and EMC Audit: |
(315) 442-4600 |
| IES Technical Help Desk: |
(866) 889-7322 |
| Provider TTY/TDD: |
(866) 786-7155 |
| |
|
Provider Enrollment
Empire Medicare Services
Reimbursement Dept.
P.O. Box 1200
Crompond, NY 10517-1200
|
Mail Assigned Claims to:
Empire Medicare Services
P.O. Box 100
Yorktown Heights, NY 10598
|
| |
|
Unassigned Claims to :
Empire Medicare Services
P.O. Box 355
Crompond, NY 10517
|
Health Professional
Shortage Area (HPSA) & EMC Audit
Empire Medicare Services
P.O. Box 4716
Syracuse, NY 13221-4716 |
UPIN Directories (CD/ROM version)
Quality Assurance and Coordination Dept.
P.O. Box 1201
Crompond, NY 10517
Back Issue Requests
Empire Medicare Services,
MNB-Back Issues
800 2nd Avenue
3rd Floor
New York, NY 10017
|
Part B Appeals & Correspondence
Empire Medicare Services
P.O. Box 2280
Peekskill, NY 10566
|
|
Part A Key: A-All Providers, C-Community Mental Health Centers (CMHC), E-Renal Dialysis (ESRD) Providers, H-Hospitals, M-Home Health Providers, O-Comprehensive Outpatient Rehabilitation Facilities (CORF) and Outpatient Physical Therapy Providers, P-Hospice Providers, S-Skilled Nursing Facilities (SNF), NA-Not Applicable
Part B Key: A-All Providers, B-Ambulance, C-Cardiovascular, D-DMEPOS, E-Drugs & Biologicals, F-ASC, G-Anesthesia, H-Physical & Occupational Therapy, I-Beneficiaries, J-Insurers, K-Home Health Care, L-Laboratory, M-Medicine, N-Non-Physician Practitioner, O-Nuclear Medicine, P-Physicians, R-Radiology, S-Surgery, U-Urology, V-Chiropractor, W-Ophthalmology, X-Podiatry, Q-Oncology, NA-Not Applicable |
