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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

1 Customer Service Representative - Tucson, AZ Salary: $15.59 per hour / $31,413.85 annually Tucson, AZ, USA Customer Service Representative - Tucson, AZ Salary: $15.59 per hour / $31,413.85 annually Note: The safety of our associates, both current and future, is GEICO's highest priority. At this time, most ...... Apply Now>>

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32 E-commerce Coordinator Tacoma, WA, USA The e-commerce coordinator will be responsible for managing and overseeing all maintenance aspects of all e-commerce products. In addition to writing, editing, and uploading or maintaining data on ...... Apply Now>>

33 Sales Professional - Bilingual (Ministry/Cemetery) Lafayette, CA, USA Location : Queen of Heaven Cemetery and Funeral Center, Lafayette, CA Looking for a meaningful sales job serving families? Want to earn a generous base salary with no limit on commissions? Sales ...... Apply Now>>

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35 Delivery/Sales -Craft Beer San Leandro, CA, USA Delivery/Sales -Craft Beer FULL-TIME $20/hr This position pays base hourly rate PLUS commissions! Looking for: *Sales experience preferably in the beverage or consumer products industry. *Self ...... Apply Now>>

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37 AM Package Handler Mon-Friday $14.50/hr Tacoma, WA Tacoma, WA, USA DESCRIPTION/RESPONSIBILITIES: Shift: Monday-Saturday 6am-12pm Getting Hired at OnTrac is Easy 1. Apply online for a phone interview. 2. Take a site tour to learn about the job. 3. Possibly receive a ...... Apply Now>>

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39 Class A Driver Bellevue, WA, USA Class A Driver FULL-TIME $27.12/hr As a part of Swire Coca-Cola's distribution team, you will be ensuring customer satisfaction by transporting products in a safe and timely manner to customers. You ...... Apply Now>>

40 Warehouse Receiver Kent, WA, USA Warehouse Receiver FULL-TIME $18/hr This position is responsible for all inbound product coming across the dock. Duties include rotation and supply of all products to all crews (loading) and all ...... Apply Now>>

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