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Medicare Payment and Regulations Resources

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.


The Medicare Access and CHIP Reauthorization Act of 2015 provides a more stable payment system for physicians while transitioning physicians away from a volume-based system toward one that rewards value. Learn more about the law and what physicians need to do to prepare for the changes.

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Getting Started with Medicare

Additional Payment Issues under Medicare

How to Comply with Medicare Regulations

Advance Care Planning

Chronic Care Management

Transition Care Management Codes

Transition Care Management Codes: How to bill for the non-face-to-face care provided when patients transition from an acute care setting.

Preventive Care Visits

Home Health Face-to-Face Encounter Requirement

Care Plan Oversight Encounter Worksheet and Instructions

Value Based Payment Program

Medicare Improper Payment Review

Advanced Beneficiary Notices (ABN)

Physician Quality Reporting System (PQRS)

The Physician Quality Reporting System is a voluntary CMS quality program. The PQRS program encourages eligible professionals and group practices to report information on the quality of care to Medicare patients, helping to ensure that patients get the right care at the right time. ACP's resources and tools help you stay on top of PQRS reporting requirements and deadlines.

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