Billing Guides and Information

Know what’s paid for by Medicare, and what’s not. Get all the latest regulations and rules – and the exceptions – with comprehensive documents detailing billing and payment, payment allowances, errors to avoid, and other information here.

 
 Date PostedPublication
11/15/2018 SE18025 - Medicare Fee-For-Service Response to the 2018 California Wildfires 
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11/14/2018 Medicare Part B Immunization Billing: Seasonal Influenza Virus, Pneumococcal, and Hepatitis B 
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11/14/2018 MM10611 Revised - Medicare Cost Report E-Filing (MCReF) 
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11/13/2018 MM10983 - Common Working File (CWF), Provider Queries National Provider Identifier (NPI), and Submitter Identification (ID) Verification 
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11/13/2018 New Medicare Card Mailing Update - Wave 6 Ends 
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11/7/2018 Transition to New Medicare Numbers and Cards 
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11/5/2018 MM10955 - Revision of SNF CB Edits for Ambulance Services Rendered to Beneficiaries in a Part A Skilled Nursing Facility Stay  
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10/15/2018 New Medicare Card Mailing Strategy (Updated October 2018) 
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10/12/2018 SE18021 - Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims 
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10/10/2018 MM10922 - Ensuring Occurrence Code 22 is Billed Correctly on Skilled Nursing Facility Inpatient Claims 
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10/10/2018 2019 Annual Update of HCPCS Codes for SNF Consolidated Billing  
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10/4/2018 SE18015 - 2018-2019 Influenza Resources for Health Care Professionals 
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10/3/2018 MM10901 - Local Coverage Determinations 
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9/12/2018 MM10871 - Quarterly Influenza Virus Vaccine Code Update - January 2019 
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9/12/2018 Influenza Vaccine Payment Allowances - Annual Update for 2018-2019 Season 
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8/21/2018 New Medicare Card Mailing Strategy 
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8/21/2018 Tribal Nursing Home Best Practices: Financial Sustainability 
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8/17/2018 SE18011 - Current Medicare Coverage of Diabetes Supplies 
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8/13/2018 Vaccine and Vaccine Administration Payments Under Medicare Part D 
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8/2/2018 Qualified Medicare Beneficiary Program - FAQ on Billing Requirements 
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7/26/2018 New Medicare Card: Using Your MAC's MBI Look-Up Tool 
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7/19/2018 New Medicare Beneficiary Identifier (MBI): Get It, Use It 
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7/5/2018 SE1128: Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program 
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7/5/2018 MM10583 - Revisions to the Telehealth Billing Requirements for Distant Site Services 
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6/13/2018 SE18008 - Provider Enrollment - Unlicensed Residents 
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6/13/2018 SE18007 - Recent and Upcoming Improvements in Hospice Billing and Claims Processing 
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6/5/2018 New Medicare Card Project Frequently Asked Questions (FAQs) 
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5/17/2018 MBI Lookup Tool - Letter to Providers 
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4/17/2018 MM10550 - Ambulance Transportation for a SNF Resident in a Stay not Covered by Part A 
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4/13/2018 MM10549 - Increased Ambulance Payment Reduction for Non-Emergent Transports to and from Renal Dialysis Facilities 
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4/6/2018 SE17035 - Medicare Fee-for-Service Response to the 2017 California Wildfires 
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4/6/2018 SE17037 - Medicare Fee-for-Service Response to the 2017 Southern California Wildfires 
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4/6/2018 MM10531 - Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 
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4/3/2018 MM10567 - Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) 
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3/30/2018 Final Master List of DMEPOS Items Subject to Frequent Unnecessary Utilization for Prior Authorization 
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3/19/2018 MM10512 - Internet Only Manual Updates to Pub. 100-01, 100-02, and 100-04 to Correct Errors and Omissions (SNF)(2018) 
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1/26/2018 Expired Medicare Legislative Provisions and Therapy Claims 
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1/23/2018 SE17034 - Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana, and Mississippi Claims 
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1/18/2018 How to Use the Medicare Coverage Database 
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1/5/2018 You're Getting a New Medicare Card! 
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12/15/2017 SE17022 - Hurricane Irma and Medicare Disaster Related Claims 
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12/15/2017 SE17024 - Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims 
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12/11/2017 MM10405 - Update to Medicare Deductible, Coinsurance and Premium Rates for 2018 
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12/7/2017 SE17020 - Hurricane Harvey and Medicare Disaster Related Texas Claims 
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12/7/2017 SE17021 - Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims 
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11/29/2017 2018 Annual Update to the Therapy Code List 
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11/14/2017 MM10341 - Therapy Cap Values for Calendar Year (CY) 2018 
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10/26/2017 Transmittal #1942 - Common Working File to Medicare Beneficiary Database Extract File Changes for Detailed SNF Data 
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10/17/2017 New Medicare Card Project Milestones 
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9/25/2017 SE17018 - Billing in Medicare Secondary Payer Liability Insurance Situations 
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9/7/2017 MM9815 - Revision to Publication 100.06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment 
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8/1/2017 Updated Editing of Always Therapy Services 
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6/16/2017 Understanding the MBI Format 
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5/18/2017 SE17012 - Updated Manual Guidelines for Electronic Funds Transfer Payments and Change of Ownership 
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5/12/2017 Skilled Nursing Facility (SNF) Billing Reference 
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