Medicare
We understand the challenges of keeping current on how to appropriately bill and code for your Medicare patients. Below are a number of resources to help you ensure that you are paid appropriately and are not in violation of any Medicare policies.
Medicare Web Based Education Tools
CMS has made available free Web-based Training (WBT) Courses that allow physicians to view and enroll online.
Preventive Care Visits
- The ABCs of the Initial Preventive Physical Exam and the Annual Wellness Visit
(CMS National Provider Call, July 21, 2011) - "Welcome to Medicare" Exam
- Annual Wellness Visit
- IPPE and AWV FAQs
- Medicare Preventive Services Quick Reference
- Pocket Guide to Selected Preventive Services for Adults
Medicare Regulations Concerning:
- Medicare Improper Payment Review
- Medical Review (MR) Programs at MACs
- Recovery Auditor Contractors (RAC)
- Comprehensive Error Rate Testing (CERT) Contractors
- Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT, and RAC
- Home Health Face-to-Face Encounter Requirement
Care Plan Oversight Encounter Worksheet and Instructions (login required)
Payment for Documenting the Medical Necessity for Power Mobility Devices
Payment for Home Health Care Plan Certification (login required)
Physician Visits to Patients in Skilled Nursing Facilities (login required)
Prescribing Home Oxygen for Medicare Patients (login required)
Advocacy
- Report insurer problems using the Health Plan Complaint Form
- Where We Stand: Medicare Issues and Health Plan Insurance Regulations
Frequently Asked Questions
Review billing and coding issues that are important to internists.
Multimedia Learning Resources
Related Links
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