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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.

Medicare Identifier Lookup Tool

All Medicare Administrative Contractor (MAC) secure portal Medicare Beneficiary Identifier (MBI) look-up tools are ready for use through your MAC's portal. If CMS has mailed the new Medicare card, you can submit 4 data elements about your patient through the tool and get the MBI.

Quality Payment Program (QPP)

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Quality Payment Program (QPP) to transition physicians away from a volume-based system toward one that rewards value.

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Telehealth Guidance and Resources

Offering guidance on clinical use cases, technology, regulations and waivers, and billing and coding.

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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

Preventive Care Visits

Home Health Face-to-Face Encounter Requirement

Care Plan Oversight Encounter Worksheet and Instructions

Quality Payment Program

Medicare Improper Payment Review

Advanced Beneficiary Notices (ABN)