-
Posting Date: 10/06/2021
Appendix 1: Forms
Medicare Part B 101 Manual Appendix 1: Forms Appeals Coverage Customer Care Documentation EDI Enrollment Other Advance Payments CMS Forms Investigational Device Exemption Requests Medicare Privacy Statement Form Vaccine [...]
Read More -
Posting Date: 10/14/2022
Appendix 2: Glossary
Medicare Part B 101 Manual Appendix 2: Glossary of Terms The Glossary of Terms listed below are in alphabetical order. Term Definition ABN Advance Beneficiary Notice: A formal notice of noncoverage that a [...]
Read More -
Posting Date: 10/07/2022
Evaluation and Management Services
Medicare Part B 101 Manual Evaluation and Management Services Table of Contents Evaluation and Management Services General Principles of Medical Record Documentation New Patient and Established Patient What Should Be Provided if [...]
Read More -
Posting Date: 10/07/2022
Participation Program
Medicare Part B 101 Manual Participation Program Table of Contents Eligibility Participation Enrollment Period/Participating Status Changes Participation Program Participating Provider Nonparticipating Provider When [...]
Read More -
Posting Date: 10/07/2022
Ordering and Referring Claims Information
Medicare Part B 101 Manual Ordering and Referring Claims Information Table of Contents Ordering and Referring Claims Information How to Identify the Ordering or Referring Provider on a Claim Ordering and Referring Eligible Provider [...]
Read More -
Posting Date: 03/04/2021
Refunds and Overpayments
Medicare Part B 101 Manual Refunds and Overpayments Table of Contents Medicare Contractor Initiated Demand Letters Providers Not on Automatic Recoupments Jurisdiction K (CT, MA, ME, NH, NY, RI , VT) Jurisdiction 6 (IL, MN, WI) [...]
Read More -
Posting Date: 10/07/2022
Return/Reject
Medicare Part B 101 Manual Return/Reject While it's easy to group processed claims as either approved or denied, there are differences in the way claims are returned unpaid by Medicare. Only claims that are filed with complete and correct [...]
Read More