Chapters: 100-04

CMS Manual 100-04, Medicare Claims Processing Manual

 
 CategoryDescription
Chapter 01 General Billing Requirements
Chapter 02 Admission and Registration Requirements
Chapter 05

Part B Outpatient Rehabilitation and CORF/OPT Services

Chapter 06

SNF Inpatient Part A Billing and SNF Consolidated Billing

Chapter 07 SNF Part A Billing (Including Inpatient Part B Billing and Outpatient Fee Schedule)
Chapter 12

Physicians/Nonphysician Practitioners

Chapter 20 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
Chapter 23 Fee Schedule Administration and Coding Requirements
Chapter 24 General EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims
Chapter 25 Completing and Processing the Form CMS - 1450 Data Set
Chapter 26 Completing and Processing Form CMS - 1500 Data Set
Chapter 29 Appeals of Claims Decisions
Chapter 30 Financial Liability Protections
Chapter 32 Billing Requirements for Special Services
Chapter 33 Miscellaneous Hold Harmless Provisions
Chapter 34 Reopening and Revision of Claim Determinations and Decisions
Chapter 38 Emergency Preparedness Fee-For-Service Guidance

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