100-04

Downloads

• Chapter 1 - General Billing Requirements
• Chapter 1 Crosswalk
• Chapter 2 - Admission and Registration Requirements
• Chapter 2 Crosswalk
• Chapter 3 - Inpatient Hospital Billing
• Chapter 3 Crosswalk
• Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
• Chapter 4 Crosswalk
• Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services
• Chapter 5 Crosswalk
• Chapter 6 - Inpatient Part A Billing and SNF Consolidated Billing
• Chapter 6 Crosswalk
• Chapter 7 - SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)
• Chapter 7 Crosswalk
• Chapter 8 - Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims
• Chapter 8 Crosswalk
• Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
• Chapter 9 Crosswalk
• Chapter 10 - Home Health Agency Billing
• Chapter 10 Crosswalk
• Chapter 11 - Processing Hospice Claims
• Chapter 11 Crosswalk
• Chapter 12 - Physicians/Nonphysician Practitioners
• Chapter 12 Crosswalk
• Chapter 13 - Radiology Services and Other Diagnostic Procedures
• Chapter 13 Crosswalk
• Chapter 14 - Ambulatory Surgical Centers
• Chapter 14 Crosswalk
• Chapter 15 - Ambulance
• Chapter 15 Crosswalk
• Chapter 16 - Laboratory Services
• Chapter 16 Crosswalk
• Chapter 17 - Drugs and Biologicals
• Chapter 17 Crosswalk
• Chapter 18 - Preventive and Screening Services
• Chapter 18 Crosswalk
• Chapter 19 - Indian Health Services
• Chapter 20 - Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
• Chapter 20 Crosswalk
• Chapter 21 - Medicare Summary Notices
• Chapter 21 - Medicare Summary Notices - English Exhibits
• Chapter 21 - Medicare Summary Notices - Spanish Exhibits
• Chapter 21 Crosswalk
• Chapter 22 - Remittance Advice
• Chapter 22 Crosswalk
• Chapter 23 - Fee Schedule Administration and Coding Requirements
• Chapter 23 Crosswalk
• Chapter 24 - General EDI and EDI Support Requirements, Electronic Claims and Coordination of Benefits Requirements, Mandatory Electronic Filing of Medicare Claims
• Chapter 24 Crosswalk
• Chapter 25 - Completing and Processing the Form CMS-1450 Data Set
• Chapter 25 Crosswalk
• Chapter 26 - Completing and Processing Form CMS-1500 Data Set
• Chapter 26 Crosswalk
• Chapter 27 - Contractor Instructions for CWF
• Chapter 28 - Coordination With Medigap, Medicaid, and Other Complementary Insurers
• Chapter 28 Crosswalk
• Chapter 29 - Appeals of Claims Decisions
• Chapter 29 Crosswalk
• Chapter 30 - Financial Liability Protections
• Chapter 30 Crosswalk
• Chapter 31 - ANSI X12N Formats Other Than Claims or Remittance
• Chapter 31 Crosswalk
• Chapter 32 - Billing Requirements for Special Services
• Chapter 33 - Miscellaneous Hold Harmless Provisions
• Chapter 34 - Reopening and Revision of Claim Determinations and Decisions
• Chapter 35 - Independent Diagnostic Testing Facility (IDTF)
• Chapter 36 - Competitive Bidding
• Chapter 37 - Department of Veterans Affairs (VA) Claims Adjudication Services Project
• Chapter 38 - Emergency Preparedness Fee-For-Service Guidance
• Chapter 39 – Opioid Treatment Programs (OTPs)