Claims Processing Manuals

  • Opioid Treatment Programs
  • Inpatient Hospital Billing
  • Inpatient Part A Billing and SNF Consolidated Billing
  • Ambulance
  • Processing Hospice Claims
  • Rural Health Clinics/ Federally Qualified Health Centers
  • Emergency Preparedness Fee-For-Service Guidance
  • Part B Hospital-Including Inpatient Hospital Part B and OPPS
  • Laboratory Services
  • Indian Health Services
  • General Billing Requirements
  • General EDI and EDI Support Requirements, Electronic Claims and Coordination of Benefits Requirements, Mandatory Electronic Filing of Medicare Claims
  • Appeals of Claims Decisions
  • Billing Requirements for Special Services
  • Drugs and Biologicals
  • Part B Outpatient Rehabilitation and CORF/OPT Services
  • Radiology Services and Other Diagnostic Procedures
  • Completing and Processing Form CMS-1500 Data Set
  • Fee Schedule Administration and Coding Requirements
  • Physicians/Nonphysician Practitioners
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