Learn about the Medicare Program, master the specifics of billing for your provider type, and receive a certificate in Medicare billing from CMS for successful completion. Completion of the program includes: required web-based training courses and readings and a 75% or higher score on the post-assessment. To participate in either the Part A or Part B program, view the list of CMS web-based training coursesExternal Link and select your provider type.
OIG Strategic Plan
The Office of Inspector General (OIG), Department of Health and Human Services (HHS) shares its vision, goals, and priorities for the future in the OIG Strategic Plan 2014-2018Adobe Portable Document Format. The plan focuses on four goals: Fight Fraud, Waste, and Abuse; Promote Quality, Safety, and Value; Secure the Future; and Advance Excellence and Innovation.
2014 Part B Participation and Fee Information
The 2014 Medicare Physician Fee Schedules and 2014 Part B Participation Information are now available. Select the link for your contract area (J5 MAC Part B or J8 MAC Part B) below for more information.
Skilled Nursing Facility Consolidated Billing
Do you have questions about whether institutional or professional services are included or excluded from Skilled Nursing Facility (SNF) Consolidated Billing (CB)? The CMS Skilled Nursing Facility Prospective Payment System fact sheetAdobe Portable Document Format includes SNF CB background, elements of the SNF prospective payment system, and useful charts to determine if this payment concept is applicable when submitting claims for institutional and professional services.
New Incarcerated Beneficiary FAQs
On November 27, 2013, CMS updated their Incarcerated Beneficiary FAQs. The new FAQs include information about the refund process; including a sample of the letter and the spreadsheet Medicare Administrative Contractors (MACs) will send to effected providers. You can access the FAQs, sample provider letter, and sample provider spreadsheet from the Downloads section of the CMS 2013 Claim Denials Due to Beneficiary Incarceration Status web pageExternal Link.