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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 CDL Truck Driver - Home Daily - Earn Up to $25/Hour + $7,500 Sign-On Grand Lake, CO, USA FreshPoint is Hiring CDL Class A and B Drivers for Delivery Routes Earn Up to $25/hr With Incentive Pay - $7,500 Sign-On Local Routes - Get Home Daily We offer our associates the opportunity to grow ...... Apply Now>>

2 Semi-Local Truck Driver Vancouver, WA, USA $15,000 sign-on bonus for a limited time! J.B. Hunt is hiring semi-local CDL-A dedicated drivers! Drive dedicated with J.B. Hunt and enjoy a consistent schedule and pay, onsite management and regular ...... Apply Now>>

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7 CDL Driver Saint George, UT, USA Steel Structures, Inc. is under New Ownership & Management and is seeking CDL Driver Steel Structures, Inc. is an AISC Approved Fabricator Structural & Miscellaneous Fabricator Department: Production ...... Apply Now>>

8 Hiring CDL A Truck Drivers - Weekly Pay! Mapleton, OR, USA GetTruckerJobs.com is recruiting experienced CDL-A drivers with a safe and clean record. We offer some of the best driving positions with a well-balanced life on the road, frequent home time, and ...... Apply Now>>

9 Outside Sales Consultant West Hollywood, CA, USA NEW YEAR, NEW CAREER... This OUTSIDE SALES position is unlike any other. It takes a SPECIAL PERSON with a VERY UNIQUE set of SKILLS. Here at Hattori Hanzo Shears , we love to sell Scissors and we're ...... Apply Now>>

10 Office Administrator Greenwood, IN, USA Responsible for providing administrative support to office personnel. Will work closely with the leadership team by handling clerical duties, coordinating calendars, and organizing meetings. Will be ...... Apply Now>>

11 Business Services Manager Lacey, WA, USA Invest in People. Empower Success. Business Services Manager (Thurston and Pierce County) TwinStar Credit Union is seeking a Business Services Manager to join our team at our team! The Business ...... Apply Now>>

12 Driver Class A CDL Salem, OR, USA Class A CDL Truck Driver$10,000 Sign-on Bonus*Home Daily! BLACK HORSE CARRIERS,the 13thlargest Dedicated Fleet Provider in the U.S., has Full-Time immediate openings forCLASS A DRIVERSin SALEM, OR ...... Apply Now>>

13 Customer Service Representative Seattle, WA, USA We are hiring a customer service representative to manage customer queries and complaints. You will also be asked to process orders, modifications, and escalate complaints across a number of ...... Apply Now>>

14 Class A Local Driver North Las Vegas, NV, USA IMMEDIATE OPPORTUNITY Class A Local Driver Top Pay. Local Routes. Be Home Daily. If you're looking for a great paying job, with good benefits and routes close to home , come join the ProDrivers team... Apply Now>>

15 Healthcare Customer Service Representative Portland, OR, USA We are seeking a Healthcare Customer Service Representative to join our team in the Portland metro area! You will be responsible for providing our members and customers with outstanding, seamless ...... Apply Now>>

16 CDL-A Company Truck Driver - Earn Up To 73 CPM Little Silver, NJ, USA CDL-A COMPANY TRUCK DRIVER JOBS COVID-19 RESPONSE Earn Up To 73 CPM w/ Exclusive Pay Enhancers! 100% employee-owned J&R Schugel gets you HOME on great OTR runs! Join the carrier that promotes a ...... Apply Now>>

17 Experienced Service Center Manager San Francisco, CA, USA Geared for the Driven Interested in a rewarding career with great pay, outstanding benefits and the opportunity to grow? Henley Enterprises Inc, the largest franchisee of Valvoline Instant Oil Change ...... Apply Now>>

18 Class A Flatbed Driver Dallas, TX, USA Are you looking to work for a company that: Knows your NAME Offers Steady Work HAS Good Equipment Gives you Respect Offers constant Communication Come and see why ProDrivers is the #1 place for ...... Apply Now>>

19 PF Receiver Portland, OR, USA PF Receiver FULL-TIME $17/hr Keep track of inventory usage on a daily basis. Operating a stand-up and sit-down forklift and electric ride on pallet jack. Stacking produce cases and building/tagging ...... Apply Now>>

20 Truck Driver - CDL Valencia, CA, USA ($3,000 Sign On Bonus and Home Nightly) You're responsive and flexible when working with people Priorities can readjust pretty quickly. What might be on top of the list at one moment could become ...... Apply Now>>

21 Stock and Distribution Clerk Springfield, OR, USA ***THIS POSITION REQUIRES AN ENLISTMENT IN THE U.S. ARMY OR ARMY RESERVE*** Enlist as a soldier into the United States Army and become a certified Automated Logistical Specialist responsible for ...... Apply Now>>

22 CDL A Truck Driver Regional Portland, OR, USA Immediately hiring Class A CDL Truck Drivers for our Regional Lanes! MVT is looking for Truck Drivers that have a passion for being on the road, and that understand that Safety and Delivering On Time ...... Apply Now>>

23 Customer Service Representative I Mabelvale, AR, USA Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. * Respond to telephone or written correspondence inquiries from members ...... Apply Now>>

24 Mobile Mechanic - Flexible Shifts Del Valle, TX, USA Wanted Experienced Mechanic: Earn Upto $70/hr Flexible work hours, Contactless, Safe What we are looking for: * Have at least 5 years of professional auto repair shop experience * Have a working ...... Apply Now>>

25 Aladdin Business, Client Services, Analyst San Francisco, CA, USA Description About this role Together, we help more and more people experience financial well-being. In particular, our Technology businesses build, maintain and utilize our technology platform ...... Apply Now>>

26 Consumer Loan Sales Specialist ** Sign On Bonus** Flint, MI, USA CONSUMER LOAN SALES SPECIALIST PUT YOUR CAREER IN MOTION AS A CONSUMER LOAN SALES SPECIALIST At OneMain, Consumer Loan Sales Specialists empower customers - listening to their needs and providing ...... Apply Now>>

27 Outside Sales Professional Lakewood, WA, USA For more than 85 years, Terminix has built a reputation as one of the nation's leading providers of termite and pest control services, safeguarding over 3 million homes and businesses against all ...... Apply Now>>

28 Shipping/Receiving II Wyoming, MI, USA JOB/TASK FUNCTIONS: The following job/taskfunctions have been identified as the core functions of this position. However, the supervisor may assign additionalduties associated with this position: ยท ...... Apply Now>>

29 CDL-A Home Daily Owner Operator Chicago Heights, IL, USA Second to None. That's who we're determined to be. As a top-ten intermodal logistics company, we're driving hard to be the first choice for customers--and for professional owner operator truck ...... Apply Now>>

30 VEHICLE INSPECTIONS REPRESENTATIVE - Remote position Seattle, WA, USA "This position is remote. You need to reside (in, near, within): Seattle, WA If you like cars and have an eye for all that's right and wrong with everything on wheels, this could be the role for you... Apply Now>>

31 CDL Truck Driver - Home Daily - Earn Up to $24/Hour + $2,500 Sign-On Bass Lake, CA, USA Hiring Class A Solo Company Drivers! Earn Up to $24/Hour - $2,500 Sign-On Bonus - Local / Home Daily! We are looking for Class A drivers who want to be part of a safe, highly motivated and exciting ...... Apply Now>>

32 Class A CDL - Dedicated Team truck driver Corvallis, OR, USA Get more miles (average 4,300 - 5,500 each week as a Team) and more pay ($0.60 per mile*) as a Dedicated Team driver. Haul 100% drop-and-hook freight from New York to Oregon, occasionally making ...... Apply Now>>

33 Truck Driving Jobs - Dedicated - $1,100+ Guaranteed Weekly! Modesto, CA, USA Opportunities Available for Company DriversBenefits Marten has a great dedicated opportunity that keeps you close to home, so you can get home most nights of the week and have 2 days off! You will be ...... Apply Now>>

34 Grocery Shopper - Hiring Immediately Lihue, HI, USA Shipt is a membership-based marketplace that helps people get the things they need, like fresh produce and household essentials, from stores they trust. Help people save time and have fun while you ...... Apply Now>>

35 Customer Service Santa Fe Springs, CA, USA Furniture Distribution in Santa Fe Springs is HIRING Customer Service Representatives. * Answer incoming calls and emails * Order entry * Status on shipments and deliveries * Enter orders for ...... Apply Now>>

36 Entry Level Sales Representative Clackamas, OR, USA Are you hardworking and ambitious? American Income Life Insurance Company has an opportunity for you that can finally be the job you've been looking for. We make a difference in the communities we ...... Apply Now>>

37 CDL-A Regional Truck Driver - Home Weekly - Up To $85K Annually Greenfield, IN, USA CDL-A REGIONAL TRUCK DRIVER - AVERAGE $85,000 - DEDICATED LANES CDL-A Truck Drivers Get Home Weekly On Our Regional Runs With Great Earnings! Professional class A truck drivers like you want to drive ...... Apply Now>>

38 Truck Driver Class A Tulsa, OK, USA Truck Driver Needed: Average Starting Pay $55,000.00 End Dump Driver. Home every night. Weekends off Benefits include: 401K, Medical Insurance, Life insurance, Paid Vacations and holidays, Qtrly ...... Apply Now>>

39 Client Service Representative I Anchorage, AK, USA This is an entry level position responsible for processing all release of information (ROI) specifically medical record requests in a timely and efficient manner ensuring accuracy and providing ...... Apply Now>>

40 Customer Health Care Concierge San Bruno, CA, USA *Job Description* Health is everything. At CVS Health we are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we're helping people on their path ...... Apply Now>>

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