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Home - Centers for Medicare & Medicaid Services | CMS

We’re putting patients first. We pledge to put patients first in all of our programs – Medicaid, Medicare, and the Health Insurance Exchanges. To do this, we must empower patients to work with their doctors and make health care decisions that are best for them. This means giving them meaningful

Actived: Sunday Aug 16, 2020

URL: https://www.cms.gov/

Medicare Advantage Applications | CMS

Details: Medicare Advantage applications 9/23/2013 Added info about listserves from Melissa Staudt 8/11/2015 Changed silver to walters 4/3/2017 Removed "1" from walters

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› Url: https://www.cms.gov/Medicare/Medicare-Advantage/MedicareAdvantageApps Go Now

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www.cms.gov

Details: Object Moved This document may be found here

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Home - Centers for Medicare & Medicaid Services | CMS

Details: This website provides a listing of CLIA laboratories and other facilities that are certified by the United States Government Department of Health and Human Services under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. 263a to perform laboratory testing as of the Data Source Date listed below.

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CMS Enterprise Portal - Welcome to CMS Enterprise Portal

Details: Enterprise Portal. The Enterprise Portal is a single sign-on, responsive platform that provides access to 60+ CMS healthcare based applications.

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Open Payments | CMS

Details: Open Payments Open Payments is a national disclosure program that promotes a more transparent and accountable health care system by making the financial relationships between applicable manufacturers and group purchasing organizations (GPOs) and health care providers (physicians and teaching hospitals) available to the public.

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Medicare | CMS

Details: People with Medicare, family members, and caregivers should visit Medicare.gov, the Official U.S. Government Site for People with Medicare, for the latest information on Medicare enrollment, benefits, and other helpful tools.

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Contact CMS | CMS

Details: This page provides a list of contact phone numbers and web links to help you find answers to your Medicare questions or program issues. Information in this page cannot respond to individual Medicare concerns. Questions related to specific services (e.g. casework, program issues, etc.) should be communicated through the existing Centers for Medicare & Medicaid Services' resources, identified below.

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Disclosure to CMS Form | CMS

Details: You are accessing a U.S. Government information system, which includes: (1) this computer, (2) this computer network, (3) all computers connected to this network, and (4) all devices and storage media attached to this network or to a computer on this network. This information system is provided for U.S. Government-authorized use only.

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Overview of the Medicare Physician Fee Schedule Search | CMS

Details: Overview This website is designed to provide information on services covered by the Medicare Physician Fee Schedule (MPFS). It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.).

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Acronyms | CMS

Details: Acronyms Glossary. An acronym is a term formed from the initial letter or letters of each of the major parts of a compound term. This list explains acronyms found on the cms.hhs.gov web site and other acronyms that are commonly used.

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Freedom of Information Act (FOIA) – Check Status of Your

Details: To check the status of your Freedom of Information Act (FOIA ) request enter the control number and personal identification number (PIN).

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The Quality Payment Program

Details: Performance Year 2020 Submission Window Is Open. You can now sign in to submit your data for PY 2020. You can submit and update your data any time until March 31, 2021 at 8 pm ET when the submission window closes.

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CMS Virtual Apps and Desktops - Sign In

Details: Click "Sign In" to Access CMS Virtual Apps and Desktops Sign In. Terms & Conditions × This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes (1) this computer network, (2) all computers connected to this

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Home - Centers for Medicare & Medicaid Services | CMS

Details: We’re putting patients first. We pledge to put patients first in all of our programs – Medicaid, Medicare, and the Health Insurance Exchanges. To do this, we must empower patients to work with their doctors and make health care decisions that are best for them. This means giving them meaningful

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Interoperability and Patient Access Fact Sheet | CMS

Details: Overview The Interoperability and Patient Access final rule (CMS-9115-F) delivers on the Administration’s promise to put patients first, giving them access to their health information when they need it most and in a way they can best use it.

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Glossary - CMS

Details: Term Definition; A "TIER" is a specific list of drugs. Your plan may have several tiers,and your copayment amount depends on which tier your drug is listed.Plans can choose their own tiers, so members should refer to their benefit booklet or contact the plan for more information.

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Alternative Payment Models (APMs) Overview - QPP

Details: An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population.

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Telehealth Services - CMS

Details: Telehealth Services MLN ooklet Each December 31 of the prior calendar year (CY), an originating site’s geographic eligibility is based . on the area’s status.

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Guidelines for Teaching Physicians, Interns, and Residents

Details: Guidelines for Teaching Physicians, Interns, and Residents MLN Booklet Page 3 of 12 ICN 006347 March 2018 Learn about these topics: Payment for physician services in teaching settings

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New App Displays What Original Medicare Covers | CMS

Details: New App Displays What Original Medicare Covers Newest eMedicare Tool Provides Valuable Information to Mobile Users. Today, the Centers for Medicare & Medicaid Services (CMS) launched a new app that gives consumers a modernized Medicare experience with direct access on a mobile device to some of the most-used content on Medicare.gov.

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Contacts Database | CMS

Details: A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244

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Physician Fee Schedule Look-Up Tool | CMS

Details: To start your search, go to the Medicare Physician Fee Schedule Look-up Tool.. To read more about the MPFS search tool, go to the MLN® booklet, How to Use The Searchable Medicare Physician Fee Schedule Booklet (September 2017) (PDF).

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Glossary - Centers for Medicare & Medicaid Services

Details: A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244

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PTP Coding Edits | CMS

Details: In order to simplify the use of NCCI edit files, CMS will consolidate the two edit files into the Column One/Column Two Correct Coding edit file. Separate consolidations will occur for the two practitioner NCCI edit files and the two NCCI edit files used for OCE. This change will occur for practitioner NCCI edits in NCCI version 18.1 scheduled for April 1, 2012.

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Clinical Laboratory Fee Schedule Files | CMS

Details: File Name Description Calendar Year; 21CLABQ1: CY 2021 Q1 Release: Added for January 2021. The update includes all changes identified in CR 12080. The file has 1,766 records.

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Freedom of Information Act (FOIA) | CMS

Details: CMS Freedom of Information Act Office Service Center CMS FOIA Contacts CMS FOIA Office Service Center, (410) 786-5353, fax (443) 380-7260 Hugh Gilmore, Director of Division of Freedom of Information, Office of Strategic Operations and Regulatory Affairs Joseph Tripline, FOIA Public Liaison Helpful Hints to Consider Before Filing a FOIA Request

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Electronic Filing | CMS

Details: Electronic filing is available through the Office of Hearings Case and Document Management System (“OH CDMS”). OH CDMS is a web-based portal for parties to enter and maintain their cases and to correspond with the Provider Reimbursement Review Board. Access to specific cases is limited to

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Medicare Program - General Information | CMS

Details: Medicare is a health insurance program for: People age 65 or older. People under age 65 with certain disabilities. People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

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Newsroom Homepage | CMS

Details: The coronavirus disease 2019 (COVID-19) national emergency has presented unprecedented challenges for the American public. Millions of Americans are facing uncertainty and millions of Americans are experiencing new health problems during the pandemic. In January 2020, the Centers for Medicare

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Glossary - CMS

Details: Term Definition; PANEL SIZE: Means the number of patients served by a physician or physician group. If the panel size is greater than 25,000 patients, then the physician group is not considered to be at substantial financial risk because the risk is spread over the large number of patients.

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Documentation and Files | CMS

Details: Documentation and Files NATIONAL PHYSICIAN FEE SCHEDULE AND RELATIVE VALUE FILES This file contains information on services covered by the Medicare Physician Fee Schedule (MPFS). For more than 10,000 physician services, the file contains the associated relative value units, a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of

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Medical Loss Ratio Data and System Resources | CMS

Details: The Affordable Care Act requires health insurance companies to disclose how much they spend on health care and how much they spend on administrative costs, such as salaries and marketing. If an insurance company spends less than 80% (85% in the large group market) of premium on medical care and efforts to improve the quality of care, they must refund the portion of premium that exceeded this

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CMS Innovation Center Homepage | CMS Innovation Center

Details: The CMS Innovation Center has a growing portfolio testing various payment and service delivery models that aim to achieve better care for patients, better health for our communities, and lower costs through improvement for our health care system.

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EHR Incentive Programs - Stage 1 Meaningful Use Calculator

Details: This online tool allows providers to test whether or not they would successfully demonstrate Stage 1 meaningful use for the EHR Incentive Programs. Visit the Medicare and Medicaid EHR Incentive Program website for more detailed information about the program, including who is eligible to participate

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How to use the Searchable Medicare Physician Fee Schedule

Details: ow to se the Searchale Medicare Physician Fee Schedule MPFS. MLN Booklet. Page 6 of 36. ICN 901344 January 2020 A fee schedule is a complete listing of fee maximums used by Medicare to pay physicians, other enrolled

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Advanced Practice Registered Nurses, Anesthesiologist

Details: Advanced Practice Registered Nurses, MLN Booklet Anesthesiologist Assistants, and Physician Assistants Page 3 of 17 ICN MLN901623 April 2020. ENROLLMENT AND PRACTICE INFORMATION

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Public Use File | CMS

Details: The Centers for Medicare & Medicaid Services (CMS) has developed a public use file that enables researchers and policymakers to evaluate geographic variation in the utilization and quality of health care services for the Medicare fee-for-service population.

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ASC Payment Rates - Addenda | CMS

Details: This page contains Ambulatory Surgical Center (ASC) payment related annual and quarterly ASCFS and Drug file Addenda. Files described in the ASC annual and quarterly change request transmittals are accessible in the "Downloads" section below.

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Medical Loss Ratio Search Tool | CMS

Details: Use the search tool to find commercial Medical Loss Ratio reports for health insurance companies offering coverage in the individual, small group, or large group market. To get started, select a reporting year and click the Search button. You may also select one or more states/territories, or enter

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License for Use of Current Procedural Terminology, Fourth

Details: License for Use of Current Procedural Terminology, Fourth Edition (“CPT®”) End User Point and Click Agreement: CPT codes, descriptions and other data only are copyright 1995 - 2019 American Medical Association.

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2017 ASP Drug Pricing Files | CMS

Details: The Medicare Part B Drug and Biological Average Sales Price Quarterly Payment files for calendar year 2017 are located in the "Downloads" section below.

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Frequently Asked Questions about Billing Medicare for

Details: April 17, 2018 . Frequently Asked Questions about Billing Medicare for Behavioral Health Integration (BHI) Services . This document answers frequently asked questions about billing behavioral health integration

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This Medicare Physician Fee Schedule Fact Sheet is no

Details: 01/01/2020 Page 1 of 2 . This Medicare Physician Fee Schedule Fact Sheet is no longer available. The Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule Search Tool provides Medicare payment

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CMS Blue Button 2.0

Details: The CMS Blue Button 2.0 API enables beneficiaries to connect their Medicare claims data to the applications, services, and research programs they trust.

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Medicare Provider Utilization and Payment Data: Inpatient

Details: The Inpatient Utilization and Payment Public Use File (Inpatient PUF) provides information on inpatient discharges for Medicare fee-for-service beneficiaries. The Inpatient PUF includes information on utilization, payment (total payment and Medicare payment), and hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS

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The Affordable Care Act: Lowering Medicare Costs by

Details: Page 1 The Affordable Care Act: Lowering Medicare Costs by Improving Care Efforts Will Save Over $200 Billion for Taxpayers Through 2016, Nearly $60 Billion for

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Marketplace Learning Management System (MLMS) Frequently

Details: Marketplace Learning Management System (MLMS) Frequently Asked Questions (FAQs) 3 Updated 2020 . GENERAL/TROUBLESHOOTING ANSWERS . 1. What do I do if I do not have a CMS Portal User ID to access the CMS Enterprise Portal?

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Events Calendar | CMS

Details: Events Calendar. The Event Calendar provides information about upcoming and past events at CMS. Registration will take place on Eventbrite.com

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