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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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20 Logistics Clerk I (Weekend shift) $15.75/hr+ $3,000 Sign on Bonus South Jordan, UT, USA SUMMARY OF DUTIES Responsible for picking, packing, and shipping finished goods for customer orders. ESSENTIAL FUNCTIONS PERFORMED * Prints picking and packing slips for the shipment of customer ...... Apply Now>>

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22 Sales Operations Associate San Francisco, CA, USA Duration of Contract: 12 mos Location: San Francisco (HM to clarify Remote policy for this req) Our team is seeking an enthusiastic professional to join our team as a Sales Operations Associate, to ...... Apply Now>>

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35 Director, Client Service (Remote) San Francisco, CA, USA Advantage Group International is seeking an ambitious and resilient Director, Client Service to join us in our journey of helping businesses be better together. What Matters to Us: Thirty years ago ...... Apply Now>>

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37 Shift Manager Chalmette, LA, USA GENERAL SUMMARY The Shift Manager - He/she has the primary responsibility for managing shifts; conveying the Cane's culture to his/her Crewmembers and Customers; as well be a creative team player who ...... Apply Now>>

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40 Outside Sales Representative Honolulu, HI, USA As a consultative outside-sales professional, the Relationship Manager is responsible for driving revenue growth and bringing in net new business from prospects. This role sets appointments with ...... Apply Now>>

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