Claims
Welcome to the WPS Medicare Claims Web page.
The Claims section is designed to help providers and billing staff with the Medicare claims processing system. The Claims homepage provides a general overview and is applicable to all types of providers. For provider specialty-specific information, be sure to view the "Provider Types" section of our Website.
When Submitting Your Claim...
- CMS
(HCFA) 1500 Claim Form Instructions
NOTE: Per CP-REV-148 CR 3138 UPINs should be represented as 6 digits not as 8 digits. CMS will be revising the IOM in the near future. - Update Log for the CMS-1500
- "Carve Out" Preventive Services
- Clarification of Carve-Outs for Preventive Services
- CMS-1500 Crosswalk to NSF and ANSI X12 4010
- Duplicate Claims
- Electronic Billing of EPO Claims for ESRD
- Hematocrit Value Required on Claims
- How to Avoid Duplicate Claim Denials for Repeat Procedures
- How to Determine if Medicare is the Primary or Secondary Payer (08/20/07)
- ICD-9-CM Diagnosis Coding (IOM Pub. 100-4, Chapter 23, Sections 10-10.2)
- Mandatory Claim Submission
- Medicare Payment Floor
- Medigap Information
- NOC Billing
- Ordering CMS (HCFA) 1500 Claim Forms
- Physician Quality Reporting Initiative (PQRI)
- Place of Service (POS) Code Set
- Place of Service (POS) 34 - Hospice (09/10/07)
- Timely Filing of Claims
- Unprocessable Claim Guidelines
- Where to Mail Your Paper Claims
- Zip Code Required for MPFSDB Claims
After the Claim has been Processed...
- Electronic Remittance Advice (ERA)
- How to Appeal a Claim Determination
- Records Lost in a Disaster
- Standard Paper Remittance Advice Notice Revisions
- Voluntary Refund Form
- Notice to Providers Submitting Nonassigned Claims
- Medicare to Stop Mailing Standard Paper Remittance (SPR) for Those Providers/Suppliers Also Receiving the Electronic Remittance Advice (ERA)
- Are You Still Using the Standard Paper Remittance?
- Advance Beneficiary Notice
- Percutaneous Image-Guided Breast Biopsy
- Voluntary Refund Checks from Providers, Suppliers
- Waiver of Liability
- Written Statement of Intent to Claim Medicare Benefits
Page Last Updated: Monday, 07-Apr-2008 16:33:00 CDT
