Beneficiary Resources & Helpful Links
If you are a Medicare recipient and you have questions regarding the Medicare program, please visit www.medicare.gov or call 1.800.MEDICARE (1.800.633.4227 or TTY 1-877-486-2048).
TopKentucky
- Official Website of the State of Kentucky
- Kentucky Department for Aging and Independent Living
- Kentucky Medical Association
Ohio
CMS Resources
- Claim Status Category codes and Claim Status Codes
- Comprehensive Error Rate Testing (CERT)
- Comprehensive Error Rate Testing (CERT) – Outpatient Rehabilitation Therapy Services
- CMS Forms
- CMS Home Page
- CMS Manuals
- CMS Transmittals
- CMS Quarterly Provider Update
- CMS HIPAA Resource Page (General information and resources regarding HIPAA legislation)
- Competitive Bidding
- Remittance Advice, Reason Codes and Remark Codes (Washington Publishing Company (WPC) assists several organizations in the maintenance and distribution of HIPAA-related code lists that are external to the X12 family of standards.)
- CMS Central Provider/Supplier Page
- Centers for Medicare & Medicaid Services Medicare MCPSS page
- Coordination of Benefits Agreement (COBA) Program
- Electronic Billing and EDI Transactions
- Frequently Asked Questions
- Helpful Contacts Directory
- ICD-10
- Introduction to the Medicare Program
- Medicare Learning Network
- Medicare Learning Network (MLN) Matters Articles
- Medicare Learning Network (MLN) Products Catalog
- Medicare Advantage Plan Directory
- Prescription Drug Coverage General Information
- Physician Regulatory Issues Team (PRIT)
- Provider Retention of Health Insurance Records (CMS Pub. 100-04, Ch. 1 §110)
- Medicare Fee-For-Service Provider/Supplier Enrollment
- Medicare Payment Systems
- Medicare Program Integrity Manual
- CMS Intermediary - Carrier Directory
- National Plan and Provider Enumeration System (NPPES)
- MREP Software
- Medicare Contractor Provider Satisfaction Survey (MCPSS)
- Medicare Acronyms List
- Physician Quality Reporting Initiative
- Competitive Acquisition for Part B Drugs & Biologicals Beneficiary Fact Sheet
- Notifying Affected Parties Regarding Changes to the Mandatory Medigap
- Survey & Certification—General Information
Part A CMS Resources
- Manuals
- Internet Only Manuals (IOM)
- Transmittals
- Federal Register
- Home Health Agency Center
- Hospice Center
- Home Health and Hospice Provider ID Information
- Medicare Program Integrity
- Provider Reimbursement Manual (Part 1)
- Provider Reimbursement Manual (Part 2)
- Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers and Billers
- Credit Balance Report
- Medicare Contractor Toll-Free Directory
- CMS Contacts Database
Local Coverage Determination Information
Medicare Payment Systems / Fee Schedule Information
- Alpha-Numeric HCPCS File
- Ambulance Fee Schedule
- Ambulatory Surgical Center (ASC) Base Eligibility File
- Ambulatory Surgical Centers (ASC)
- Berenson-Eggers Type of Service (BETOS) File
- Clinical Lab Diagnostic Fee Schedule
- Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule
- End Stage Renal Disease (ESRD) Program
- Files for Download (formerly known as Public Use Files)
- Healthcare Common Procedure Coding System (HCPCS)
- Home Health Prospective Payment System
- Hospital Inpatient Prospective Payment System
- Hospital Outpatient Prospective Payment System
- ICD-9-CM Coordination and Maintenance Committee
- Inpatient Rehabilitation Facility Prospective Payment System
- Long-Term Care Hospitals Prospective Payment System
- Medicare PPS Excluded Cancer Hospitals
- National Physician Fee Schedule Relative Value File
- Physician Fee Schedule
- Physician Fee Schedule Payment Amount File
- Physician Fee Schedule Search
- Prospective Payment System (PPS) PC PRICER
- Skilled Nursing Facility (SNF) Prospective Payment System
- Zipcode to Carrier Locality File
Other Contractors
- AdvanceMed – Zone 5 Program Integrity Contractor for AR, AL, GA, LA, MS, NC, SC, TN, WV, & VA
- CEDI (Common Electronic Data Interchange)
- CERT Contractor
- Connolly Consulting Associates, Inc. - Recovery Audit Contractor (RAC)
- Health Integrity, LLC -- Zone 4 Program Integrity Contractor for CO, NM, OK, & TX
- Medicare Pricing, Data Analysis and Coding (PDAC)
- National Supplier Clearinghouse (NSC)
- Safeguard Services, LLC -- Zone 7 Program Integrity Contractor for FL, PR, & VI
HIPAA Resources
- National Plan and Provider Enumeration System (NPPES)
- HIPAA Law - Administrative Simplification Provision
- Health and Human Services web site devoted to Administrative Simplification
- CMS Medicaid HIPAA - Administrative Simplification
- CMS HIPAA Resource Page (General information and resources regarding HIPAA legislation)
- X12N Insurance Industry Implementation Guides
- Department of Health and Human Services Office for Civil Rights
- Department of Health and Human Services
- National Committee on Vital and Health Statistics
- Strategic National Implementation Process (SNIP)
- The Washington Publishing Company
Other HIPAA Resources
- FREE Video - CMS' Meeting the HIPAA Challenge: Implementing the Administrative Simplifications of HIPAA. For free video, e-mail your request to AskHipaa@cms.hhs.gov.
- FREE Listserve - http://aspe.hhs.gov/admnsimp/lsnotify.htm - Sign up to receive notification when proposed or final rules on HIPAA have been published in the Federal Register (The Federal Register is the place where the government, upon passing a law, tells the public how the law will be implemented).
- CMS HIPAA E-Mail box - askhipaa@cms.hhs.gov. Send your questions on HIPAA administrative simplification here.
Federal Government
- The White House
- The U.S. House of Representatives
- The U.S. Senate
- Centers for Medicare & Medicaid Services
- Department of Health and Human Services (DHHS)
- Office of Management and Budget (OMB)
- Congressional Budget Office (CBO)
- General Accounting Office (GAO)
- Office of Inspector General (OIG)
- Food and Drug Administration (FDA)
- Government Printing Office (GPO)
- Administrative Simplification (HIPAA Information)
- THOMAS - U.S. Congress on the Internet
Trade Publications
Spanish Language (español) Resources for Providers
Miscellaneous Resources
- American Association for Homecare (AAH)
- American Medical Association
- AARP
- ACHC
- Administration on Aging
- Administration on Aging (español)
- Centers for Disease Control and Prevention
- Community Health Accreditation Program (CHAP)
- Department of Health and Human Services
- Disability.gov
- FirstGov - Your First Click to the US Government
- FirstGov for Seniors
- Glucosamine-Arthritis Information Center
- Joint Commission Accreditation of Healthcare organizations (JCAHO)
- Medicare Contractor Provider Satisfaction Survey (MCPSS) Home Study page
- Medicare Program Integrity Manual
- Medicare Supplier Directory
- Medicode Books and Software (ICD-9 & CPT)
- National Cancer Institute
- National Home Oxygen Patients Association
- National Institute on Aging
- National Library for the Blind and Physically Handicapped (NLS)
- Office for Civil Rights - HIPAA
- Participating Physician Directory (MEDPARD)
- Social Security Administration
- Social Security Administration (español)
- Unique Physician Identifier Numbers
Updated: 06.13.12
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