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Posting Date: 11/15/2021
Open Door Forums
Open Door Forums CMS conducts ODFs. The ODF addresses the concerns and issues of providers. Providers may participate via conference call and have the opportunity to express concerns and ask questions. For more information, including signing [...]
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Posting Date: 11/15/2021
P.O. Box Mailing Addresses
P.O. Box Mailing Addresses For the P.O. Box mailing addresses, please visit the Contact Us page on our website. Reviewed 10/21/2024
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Posting Date: 11/15/2021
Patient Protection and Affordable Care Act of 2010
Patient Protection and Affordable Care Act of 2010 For information related to the HIPAA Privacy and Security Rules, visit the Office for Civil Rights website. The Privacy and Security Rules are available for download, and you will find [...]
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Posting Date: 11/16/2021
Physician Quality Payment Program
Physician Quality Payment Program The MACRA ended the SGR formula for clinician payment under the MPFS and established a quality payment incentive program, the QPP. This program provides clinicians with two ways to participate: through [...]
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Posting Date: 11/16/2021
Provider Contact Center
Provider Contact Center For information about the Provider Contact Center, please visit the Contact Us page on our website. Reviewed 10/21/2024
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Posting Date: 11/16/2021
Provider Enrollment
Provider Enrollment The Provider Enrollment Customer Service Department has direct telephone lines available for provider enrollment inquiries. Toll-Free Provider Enrollment Numbers Please use the following toll-free provider enrollment [...]
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Posting Date: 11/16/2021
Reconsideration (Second Level of Appeal)
Reconsideration (Second Level of Appeal) A written reconsideration request must be filed with a QIC within 180 days of receipt of the redetermination. When providers receive an unfavorable redetermination, providers shall follow the [...]
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Posting Date: 11/16/2021
Recovery Audit Program
Recovery Audit Program The Recovery Audit Program’s mission is to identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on claims of health care services provided to Medicare [...]
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