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CMS Provider Information

The Centers for Medicare and Medicaid Services provides information on new or changed regulations/policy through “Medlearn Matters.” We have placed many of the "Medlearn Matters...Information for Medicare Providers" articles here on our Website. According to CMS the “Medlearn Matters” articles are designed to help providers understand new or changed Medicare policy.


Related Files
Analysis of 2007 Part B Premium Rate Increase (Adobe PDF File)
CMS Issues Guidance for Employee Education About False Claims Recovery (Adobe PDF File)
State Plan Preprint (Adobe PDF File)
MEDICARE FACT SHEET Medicare Premiums and Deductibles 2007 (Adobe PDF File)
CMS Announces Ending the HIPAA Contingency for Remittance Advice (Adobe PDF File)
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2004 (Adobe PDF File)
July Update to the Medicare Outpatient Code Editor (OCE) Specifications Version 19.2 for Bills from Hospitals that are Not Paid Under the Outpatient Prospective Payment System (Adobe PDF File)
July Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.2 (Adobe PDF File)
Skilled Nursing Facility Consolidated Billing L Codes – Durable Medical Equipment Regional Carrier and Fiscal Intermediaries (Adobe PDF File)
MMA - Section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Special Adjustment for Skilled Nursing Facility Prospective Payment System Rates for Acquired Immune Deficiency Syndrome (Adobe PDF File)
Manualization NCD: Acupuncture for Fibromyalgia/Osteoarthritis (Adobe PDF File)
Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272Hospital Concerns Regarding Changing of Patient Status Code Due (Adobe PDF File)
The Consolidation of the Claims Crossover Process: Smaller-Scale Initial Implementation (Adobe PDF File)
Transmittal 49 Implementation Date Extension (Adobe PDF File)
Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD) (Adobe PDF File)
April Outpatient Code Editor (OCE) Specifications Version 5.1 Used in OPPS (Adobe PDF File)
MMA Drug Pricing Update—Drug Exceptions (Adobe PDF File)
MMA-- Implementation of Sections 401, 402, 504 and 508(a) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Adobe PDF File)
January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 R1 for Bills from Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) (Adobe PDF File)
MMA - April 2004 Update of the Hospital Outpatient Prospective Payment System (opps) (Adobe PDF File)
MMA - New Payment Allowance Percentages for DMERC Drugs (Adobe PDF File)
MMA - Claims Requiring Adjustment as a Result of April 2004 Changes to the Outpatient Prospective Payment System (OPPS) (Adobe PDF File)
MMA - April 2004 Changes to the Hospital Outpatient Prospective Payment System (Adobe PDF File)
MMA - Outpatient Clinical Laboratory Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas (Adobe PDF File)
MMA - New Part B Annual Deductible (Adobe PDF File)
MMA-Restoring Composite Rate Exceptions for Pediatric Facilities Under the End Stage Renal Disease (ESRD) Composite Rate System (Adobe PDF File)
MMA-Changes to Rules for Receiving Optional Payment Method for Outpatient Services (Adobe PDF File)
Consolidation of the Claims Crossover Process: Additional Common Working File (CWF) Functionality (Adobe PDF File)
Medicare Incentive Payments for Physician Care in Underserved Areas (Adobe PDF File)
MMA Pricing File Clarifications (Adobe PDF File)
MMA-Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 (Adobe PDF File)
MMA-Additional Information in Medicare Summary Notices (MSNs) to Beneficiaries about Skilled Nursing Facility (SNF) Benefits (Adobe PDF File)
Additional Guidelines for Implementing the National Council for Prescription Drug (Adobe PDF File)
Elimination of the 90-day Grace Period for Billing Discontinued ICD-9-CM Codes (Adobe PDF File)
Elimination of the 90-day Grace Period for HCPCS Codesv (Adobe PDF File)