CMS/External Links

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2012 Deductible and Coinsurance(external link)

Centers for Medicare & Medicaid Services (CMS) website
On this website, you will find a vast assortment of CMS resources, such as manuals, an acronym finder, MLN Matters articles, HIPAA information, the Medicare Physician Fee Schedule, Frequently Asked Questions, and much more.
CMS Internet-Only Manual (IOM) System
On this portion of the CMS website, you will have access to the entire CMS online manual system. The IOMs are a replica of the Agency's official record copy. They are CMS' program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations, and state survey agencies use the IOMs to administer CMS programs. They are also a good source of Medicare information for the general public.
CMS Medicare Contracting Reform Homepage
CMS Outreach and Education(external link)
Access information about CMS training, outreach and the Medicare Learning Network (MLN).

Medicare Contractor Provider Satisfaction Survey (MCPSS)

MCPSS Media Kit 2011

The Centers for Medicare & Medicaid Services is conducting its annual administration of the Medicare Contractor Provider Satisfaction Survey (MCPSS). The survey is designed to collect quantifiable data on provider satisfaction with the performance of your Medicare contractor. The MCPSS will be sent to a random sample of approximately 30,000 Medicare fee-for-service providers and suppliers. CMS is listening and wants to hear from you about the services provided by your Medicare contractor. If you are selected to participate, please take a few minutes and complete this important survey. To learn more about the MCPSS, please visit http://www.cms.gov/mcpss or https://www.mcpsstudy.org.

Coverage Issues / Information

Medicare Qualifying Clinical Trials
Clinical trials are research studies designed to evaluate the safety and effectiveness of medical care.

CMS Publications

CMS Medicare Learning Network (MLN)
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.
Hospital Outpatient PPS - Addendum A and Addendum B Updates
Consumer Publications
Forms
On this website you will find a wide variety of CMS forms as well as filing instructions.
CMS Transmittals
Program transmittals are used to communicate new or changed policies, and/or procedures that are being incorporated into a specific CMS program manual. The cover page (or transmittal page) summarizes the new changed material, specifying what is changed.

General Information

Acronyms
This list explains acronyms found on the CMS website and other acronyms that are commonly used.
The American Health Quality Association
Professionals working to improve the quality of health care in communities across America.
CMS Intermediary-Carrier DirectoryAdobe Portable Document Format
This document provides a listing of Part A Intermediaries and Part B Carriers.
CMS Mailing Lists
CMS Manual System
CMS Medicare Managed Care Directory - Obtain a managed care plan contract name, contract number, mailing address and telephone number.
COBA Medigap Claim-Based IDs on CMS' Coordination of Benefits 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.
Public Service Announcements for Health Care Professionals:
What Do You Say When Asked About the New Medicare Prescription Drug Coverage?
Federal Register
Health Insurance Portability and Accountability Act (HIPAA)
ICD-10
Medicare Advantage (M/A) Information
Medicare Prescription Drug Coverage
Information and resources for providers.
Medicare Preventive Benefits
General information on preventive services
Medicare Providers
Medicare program information for providers
Medicare Remit Easy Print (MREP)
Medicare Suppliers
Medicare program information for suppliers.
National Provider Identifier Standard (NPI)
On 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 replaced previous versions of health care provider identifiers (e.g. UPIN) used in standard health care transactions.
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 on this site are a one-stop resource focused on the informational needs and interests of Medicare providers, including physicians and other practitioners.
Medicare program information for physicians.
Physician Quality Reporting System (PQRS)
Provider / Supplier Enrollment
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.
CMS Quarterly Provider Update
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. On 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.
Zip Code Changes and Zip Codes Requiring +4 Ext Files

Page Last Updated: Thursday, 05-Apr-2012 12:11:27 CDT