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Medicare Claims Processing Manual

Chapter 1 - General Billing Requirements
Chapter 2 - Admission and Registration Requirements
Chapter 3 - Inpatient Hospital Billing
Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services
Chapter 6 - SNF Inpatient Part A Billing and SNF Consolidated Billing
Chapter 7 - SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)
Chapter 8 - Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims
Chapter 9 - Rural Health Clinics / Federally Qualified Health Centers
Chapter 10 - Home Health Agency Billing
Chapter 11 - Processing Hospice Claims
Chapter 12 - Physicians/Nonphysician Practitioners
Chapter 13 - Radiology Services and Other Diagnostic Procedures
Chapter 14 - Ambulatory Surgical Centers
Chapter 15 - Ambulance
Chapter 16 - Laboratory Services
Chapter 17 - Drugs and Biologicals
Chapter 18 - Preventive and Screening Services
Chapter 19 - Indian Health Services
Chapter 20 - Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Chapter 21 - Medicare Summary Notices
Chapter 22 - Remittance Advice
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 27 - Contractor Instructions for CWF
Chapter 28 - Coordination With Medigap, Medicaid, and Other Complementary Insurers
Chapter 29 - Appeals of Claims Decisions
Chapter 30 - Financial Liability Protections
Chapter 31 - ANSI X12N Formats Other than Claims or Remittance
Chapter 32 - Billing Requirements for Special Services
Chapter 33 - Miscellaneous Hold Harmless Provisions
Chapter 34 - Reopening and Revision of Claim Determinations and Decisions
Chapter 35 - Independent Diagnostic Testing Facility (IDTF)
Chapter 36 - Competitive Bidding
Chapter 37 - Department of Veterans Affairs (VA) Claims Adjudication Services Project
Chapter 38 - Emergency Preparedness Fee-For-Service Guidance


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JOBS - Page 1

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2 Administrative Assistant Redmond, WA, USA Administrative Assistant - Redmond (On-Call) GeoEngineers, Inc., a leading national earth science and technology consulting firm, is seeking a Part Time Administrative Assistant for our Redmond, WA ...... Apply Now>>

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8 Office Administrator Seattle, WA, USA Description The position will be responsible for generating reports, dispatching technicians, processing invoices, and for pulling/ordering/receiving and controlling inventory. Responsibilities... Apply Now>>

9 Administrative Associate Gainesville, FL, USA TempForce has a client looking for an Administrative Clerk at their Gainesville, FL location. Let us connect you with one of our clients today! Temporary Gainesville, FL Schedule: FT Salary: $12hr ...... Apply Now>>

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11 Customer Service Representative San Ramon, CA, USA If you are either looking to get out of the Restaurant / Retail industry or just looking for an immediate opportunity to work from home or in a corporate office setting: Our client is in the East Bay ...... Apply Now>>

12 Financial Service Agent Sacramento, CA, USA Farmers is seeking polished and experienced Life & Financial Sales Professionals, with strong prospecting, relationship building, and client-facing skills. Prospective candidates may come from a ...... Apply Now>>

13 Account Executive Hayward, CA, USA : Pilot Freight Service is seeking to hire a full time Account Executive for our SAN FRANCISCO, CA station which is located in HAYWARD, CA. Responsibilities: * Work with District Manager and sales team ...... Apply Now>>

14 Debit Card Operations Specialist Spokane, WA, USA Debit Card Operations Specialist QUALIFICATIONS * High School Diploma or GED required * 1 or more years of debit card/retail banking experience preferred What you'll do As a Debit Card Operations ...... Apply Now>>

15 Direct Installer Scheduler Manteca, CA, USA Description Position at Franklin Energy We provide our utility clients with a wide range of energy-saving and renewable energy solutions. From individual utility customers and construction ...... Apply Now>>

16 CDL DRIVERS Elko, NV, USA Ruby Dome Inc in Elko has immediate openings for CDL A Drivers to join our professional team! We offer very competitive wages and an excellent work environment. Now offering 401K Candidates are ...... Apply Now>>

17 GRAVEL TRUCK DRIVERS, DIESEL MECHANICS & SAND PIT WORKER Columbus, NE, USA Columbus Job OpportunitesFull and part-time positions. Experienced gravel truck drivers, diesel mechanics and a sand pit worker. Excellent wages/benefits. 402-910-6893 or 402-564-5424. CONFIDENTIAL... Apply Now>>

18 Distribution Team Lead Geneva, NY, USA United States, Geneva, NY, Beauty Care Distribution Team Lead HENKEL IS FOR THOSE WHO STEP UP. DO YOU? At Henkel, you can make a difference and craft your career. That's why you own your projects and ...... Apply Now>>

19 Grease Technician Glen Gardner, NJ, USA We are looking for a Grease Technician to operate a Class B sized tank truck and drive to various locations to provide prompt, courteous, and complete waste removal for customers. RESPONSIBILITIES... Apply Now>>

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21 Sales Account Director- Seattle, WA -Remote Seattle, WA, USA At Premier Press our focus is to excel in providing unsurpassed customer service and the highest quality in every job we do within a work environment promoting individual growth in our field ...... Apply Now>>

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23 Regional Flatbed Driver Houston, TX, USA Job Purpose:Transports and delivers product or material by operating a tractor/Flatbed trailer truck.Duties: * Determines condition of vehicle by inspecting vehicle before and after use; logging ...... Apply Now>>

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25 Night Maintenance Pigeon Forge, TN, USA US-TN-Pigeon Forge Your day begins after our guests have all left happy from dining and shopping! Your work will set the stage for our next day of providing a great guest experience. Working the ...... Apply Now>>

26 Inside Sales Representative Sonora, CA, USA Inside Sales/Counter Service Inside Sales/Counter Service Company: General Plumbing Supply, Co Our Sonora Plumbing Branch of General Plumbing Supply Co. is seeking an inside sales/will call counter ...... Apply Now>>

27 Lead Driver Lacey, WA, USA DESCRIPTION/RESPONSIBILITIES: Job Description JOB SUMMARY: The purpose of this position is to operate a tractor-trailer or straight truck to ensure quality customer service and safe and efficient ...... Apply Now>>

28 Service Manager Palatine, IL, USA We are seeking a Service Manager to join our team! You will be responsible for helping customers by providing product and service information and resolving technical issues. Responsibilities... Apply Now>>

29 Truck Driver - Home Daily - Average $1,317/Week Novato, CA, USA Now Hiring CDL-A Company Drivers Local / Home Daily - Average $1,317.50/Week - Excellent Benefits Since its roots more than 30 years ago, Gardner Trucking, Inc. has grown through the Lanting family ...... Apply Now>>

30 Truck Driver - Home Daily - Avg. $1,200-$1,800/Week - Entry Level Tracy, CA, USA Now Hiring Local CDL Drivers! Home Daily - Avg. $1,200-$1,800/week - Entry Level The largest for-hire transporter of tomatoes in the United States is looking for CDL drivers to join local driving ...... Apply Now>>

31 Full Time Receptionist/Administrative Assistant in Legal Field San Francisco, CA, USA Job Description Start: Immediately Location: Downtown San Jose - WILL NOT BE WORKING REMOTELY. Full time: Monday through Friday, 8:00 a.m. - 5:00 p.m. Salary: $50,000.00 Company Description: ADR ...... Apply Now>>

32 Customer Care Specialist - Work From Home Dallas, TX, USA This is a work from home position! We are looking for a Customer Care Specialist who is a high performer with a track record of over-achievement to join our team! Prior work experience in financial ...... Apply Now>>

33 Class A Yard Hostler Santa Fe Springs, CA, USA Santa Fe Springs yard is in need of Yard Jockey with a Class A license. YOU MUST HAVE A CLASS A LICENSE AS YOU WILL BE DRIVING OUTSIDE OF THE YARD. You will be moving trailers in and out of the docks ...... Apply Now>>

34 Schwan's Route Sales Representative-Earn daily base salary + commission and Benefits (Residential... Grand Forks, ND, USA Job Details Description New operating hours! Route stops will end earlier each evening getting our Route Sales Representatives home to their families sooner Earn between $52K - $57K ($180/day Salary ...... Apply Now>>

35 Tanker Drivers Cedar Rapids, IA, USA br> Cliff Viessman, Inc. is hiring FT and PT tanker drivers in the Cedar Rapids area (local, regional & OTR). Qualified full time applicants will be eligible for a $5,000 sign on bonus! Full time ...... Apply Now>>

36 Bottling Production Packer/QC Kent, WA, USA Bottling Production Packer/QC FULL-TIME $17/hr This role pays $16-18 an hour depending on experience. The Production Packer is responsible for printed outside case labels and signing off on all ...... Apply Now>>

37 Customer Service Coordinator Seattle, WA, USA Customer Service Coordinator R&T Hood and Duct Services, Inc., a leader in the industry for providing fire protection services to the greater Seattle area, is seeking a full-time dynamic Customer ...... Apply Now>>

38 Class A IC Drivers - HAZMAT Chicago, IL, USA Big E Transportation, LLC, is seeking Class A Independent Contractor Drivers with HAZMAT. *Trucks are available to lease with no money down. * Bring your good driving record and previous ...... Apply Now>>

39 Overnight Driver - Twice a Week / Weekends Home - Class A/B Racine, WI, USA We are seeking a Delivery Driver Class A And B to join our team! You will be responsible for safely operating a truck with a capacity of at least 26,000 pounds Gross Vehicle Weight (GVW). This ...... Apply Now>>

40 Delivery Driver Class A and B - Local - Home Every Night! Waukesha, WI, USA We are seeking a Delivery Driver Class A and B to join our team! You will be responsible for safely operating a truck with a capacity of at least 26,000 pounds Gross Vehicle Weight (GVW) . This ...... Apply Now>>

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