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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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10 Sales Service Assistant Humble, TX, USA SUMMARY Responsible for supporting sales staff by providing administrative, clerical, and customer support. Follows up with customers, completes orders, and processes sales leads. PRIMARY ...... Apply Now>>

11 CDL Delivery Truck Driver Seattle, WA, USA : If you're a licensed CDL Driver looking to advance your career with a nationally established company, look no further. ABC Supply, America's largest wholesale distributor of exterior and interior ...... Apply Now>>

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14 Client Services Manager Seattle, WA, USA Position Scope: The Assistant Client Manager plays a critical role on the leadership team, reporting to the Executive Director.The position works to implement the daily aspects of the organization ...... Apply Now>>

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16 Assistant General Manager Unique environment - award-winning, people-focused company, and a challenging yet rewarding position! Interested? Tastes on the Fly SFO International LLC is seeking a positive, committed and hands-on ...... Apply Now>>

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21 Customer Service & Sales Coordinator - High Level Training Livermore, CA, USA Customer Service & Sales Coordinator Are you someone who thrives in a progressive, fast-paced, deadline-driven environment? Are you eager to be a part of an up and coming enterprise and excited to ...... Apply Now>>

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23 Planner/Customer Support Specialist Santa Rosa, CA, USA Title: Planner/Customer Support Specialist City: Santa Rosa State: CA ZIP: 95403 Job Type: Direct-Hire Hours: 40 Job Code: EB-1339118135 Tekberry is looking for a highly qualified and motivated ...... Apply Now>>

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27 Customer Service Specialist Denver, CO, USA We are seeking a Part-Time Specialist to become an integral part of our team. You will be responsible for assisting customers to determine needs and make recommendations. The ideal candidate will ...... Apply Now>>

28 FT Welcome Center Associate Calistoga, CA, USA Sterling Vineyards is seeking a guest focused and passionate individual to join our team at one of Napa Valley's most iconic wineries. This full-time role will be focused in our Welcome Center and is ...... Apply Now>>

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30 Complaint Specialist Irvine, CA, USA Position : Complaint Specialist Location: Irvine, CA Duration: Contract Job Description Independently lead others and conduct internal quality system and regulatory assessments with minimal guidance ...... Apply Now>>

31 Administrative/ Customer Service Manteca, CA, USA 8am-5pm (Monday-Friday) Computer proficiency required -- MS Office/ MAC Quickbook knowledge required Ability to Multi-Task Will be required to attend Trade shows Excellent Customer Service Skills ...... Apply Now>>

32 Account Coordinator Phoenix, AZ, USA Terrific opportunity for a professional individual ready to move ahead in a great career. As Account Coordinator for a growing transportation company, you will be responsible for developing and ...... Apply Now>>

33 HVAC Service Coordinator Dayton, OH, USA Rieck Services is looking for a highly motivated, professional and organized individual for a full-time HVAC Service Coordinator. The position is represented by the following job description: Job ...... Apply Now>>

34 Sales Support Specialist Austin, TX, USA Retail lighting showroom in Austin looking for an individual to fill our open sales support position. This individual will need to be confident and comfortable working in a fast-paced sales ...... Apply Now>>

35 Customer Service Representative Saint Charles, MO, USA Job Description: Summary of Position The Customer Service Representative will typically do the following: listen and respond to customers' needs and concerns, provide information about products and ...... Apply Now>>

36 Customer Care Agent Brookfield, WI, USA Full Time. Temp to Hire. Customer Care Agents. Collections. Retention. Location: Milwaukee, WI | Brookfield Area When a company offers a product or a service, the customer service team is the ...... Apply Now>>

37 Sports Minded Customer Service Associate - Entry Level Austin, TX, USA We are looking for an energetic and competitive Customer Service Associate who will partner with and ensure the long-term success of our customers. You will be responsible for developing ...... Apply Now>>

38 Customer Service Representative Tacoma, WA, USA Position Purpose: Under general direction, performs customer service representative responsibilities of a complex nature that require independent judgment and solid work experience for each function... Apply Now>>

39 Customer Service Representative South Jordan, UT, USA Responsibilities: * Handle incoming phone calls regarding various service inquiries on client's accounts. Requirements to Qualify for this Job: * At least 2 years of call center experience, financial ...... Apply Now>>

40 Office Services Associate (389715) Menlo Park, CA, USA Williams Lea is hiring for Office Services Associates lead (known as OSAs) Monday through Friday 11:00 am - 8:00pm! The primary function for this role will be general mail and/or digital print ...... Apply Now>>

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