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Claims Processing Manuals

  • Physicians/Nonphysician Practitioners
  • Coordination With Medigap, Medicaid, and Other Complementary Insurers
  • Contractor Instructions for CWF
  • Ambulatory Surgical Centers
  • Reopening and Revision of Claim Determinations and Decisions
  • Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims
  • Preventive and Screening Services
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
  • Financial Liability Protections
  • Medicare Summary Notices
  • Completing and Processing the Form CMS-1450 Data Set
  • Competitive Bidding
  • Independent Diagnostic Testing Facility (IDTF)
  • Admission and Registration Requirements
  • SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)
  • Department of Veterans Affairs (VA) Claims Adjudication Services Project
  • Remittance Advice
  • ANSI X12N Formats Other than Claims or Remittance
  • Miscellaneous Hold Harmless Provisions
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