Guided Pathways to Medicare Resources for Medicare Fee-for-Service Health Care Professionals
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Section I: CMS Information
A. Navigating the CMS Website
B. Medicare Learning Network (MLN)
C. Provider Resources
D. General Medicare Information
Section II: Introduction to the Medicare Program
A. Medicare Program Information
Section III: Information About Becoming a Medicare Provider
A. National Provider Identifier (NPI)
B. Provider Enrollment Process
Section IV: Medicare Reimbursement
A. Beneficiary Notice Initiative (BNI) and Electronic Data Interchange (EDI)
B. Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT)
C. Comprehensive Error Rate Testing (CERT)
D. Medicare Secondary Payer (MSP)
E. Reimbursement Methodologies
F. Health Insurance Portability and Accountability Act (HIPAA)
G. Evaluation and Management Documentation
H. Part A Reimbursement Information
I. Part B Reimbursement Information
Section V: Protecting the Medicare Trust Fund
A. Fraud & Abuse
B. Coverage Decisions/Determinations
C. Progressive Corrective Action Web Pages
Section VI: Appeals
A. The Medicare Appeals Process
B. Appeal Forms
Section VII: Overpayments
A. Overpayment Publications
B. Manual Sections on Overpayments
Section VIII: Medicare Services
A. Kidney Dialysis and Kidney Transplant Services
B. Long Term Care Hospital Prospective Payment System
C. Preventive Services Information
D. Rural Health Services
E. Provider Specific Web Pages
F. Clinical Laboratories
Section IX: Other Available Medicare Resources for Providers
A. Other Available Medicare Resources for Providers