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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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9 CDL-A Regional Truck Driver - MI Ann Arbor, MI, USA Michigan regional routes at NTB are a top choice for CDL-A truck driver professionals! NTB is hiring for CDL-A regional truck driver job opportunities in the Stanwood, MI, area! We have regional ...... Apply Now>>

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12 Client Services Representative Lynnwood, WA, USA Position Summary: Under the direct supervision of the Shelter Manager, the Client Services Representative will assist the public with inquiries and transactions by answering calls, responding to ...... Apply Now>>

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14 Truck Driver CDL A - $5,000 Sign On Bonus Akron, OH, USA : Truck Driver CDL A $5,000 Sign-On Bonus ***These Driver roles DON'T require days away from home. Call Joe at (844) 813-4197 We offer a competitive benefits package which includes but not limited to ...... Apply Now>>

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21 Shipping and Receiving Clerk Kent, WA, USA SmartTalent is seeking Shipping Assistant in Kent. A successful candidate will solve practical problems and deal with a variety of concrete variables in situations where only limited standardization ...... Apply Now>>

22 Specialized Regional Class A Flatbed Drivers Home Weekly Palatine, IL, USA : Hill Transportation is Hiring Experienced CDL-A Flatbed Drivers! Home Weekly - Average Over $80k Yearly - Excellent Benefits Job Overview: HTSI is a leader in the flatbed commodities hauling industry ...... Apply Now>>

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24 Truck Driver Jobs Portland, OR | Dedicated Flatbed into British Columbia Fairview, OR, USA Description Loads pick up from Portland go to BC, WA, CA or OR and then straight back to Portland round trip$0.45 flat, with $25/stop/drop on a loadLoads can have anywhere from 2-10 drops per load ...... Apply Now>>

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27 Service Coordinator Seattle, WA, USA Job Title: Service Coordinator Supervisor: Community Manager Position Summary: The Service Coordinator works closely with the Community Manager to cultivate and collaborate with the objectives and ...... Apply Now>>

28 Receiver West Chester, OH, USA Receiver FULL-TIME $12.75/hr A receiver must strive to safely and efficiently unload trailers and accurately read case labels to correctly palletize products. Primary duties: • Manually unloading ...... Apply Now>>

29 Member Services Representative Clovis, CA, USA WiderCircle is a Silicon Valley healthcare start-up that engages with members of the community to learn how to maintain and improve their health, and outlook on life. We are now seeking outreach ...... Apply Now>>

30 Armed Vault Worker - Tacoma WA Tacoma, WA, USA DESCRIPTION/RESPONSIBILITIES: UNARMED VAULT TELLER BASIC JOB DESCRIPTION: Receive, verify, sort, disperse and account for (maintain inventory of) vault cargo items. ESSENTIAL JOB FUNCTIONS: * Check ...... Apply Now>>

31 Account Manager - October Start San Francisco, CA, USA Who We Are: As a sales agent with SelectQuote Insurance Services, you will speak to people who have responded to a variety of marketing campaigns, conduct an extensive needs analysis with these ...... Apply Now>>

32 Bilingual English/Spanish Customer Experience Assistant (1,500 Sign-On Bonus) Tempe, AZ, USA 7971 - Phoenix CEC - 1515 W. 14th Street, Tempe, Arizona, 85281 CarMax, the way your career should be! Provide an iconic customer experience As an associate at one of our Contact Centers, you'll ...... Apply Now>>

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34 Regional and OTR Opportunities CDL A Driver No Touch Drop Hook Morristown, TN, USA : Give us a call at (866) 974-0229 and make great things happen! * Gwen ex 104 * Darresha ex 102 Calling from NC, SC or OH, give Kathy a ring at (866) 974-7009 REGIONAL/ OTR DRIVERS NEEDED SOUTHEAST ...... Apply Now>>

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36 Truck Driver Regional Akron, OH, USA : Call (855) 711-1161 Today! Now Hiring Regional Company Driver One position available Benefits: * $1000 - $1200 WEEKLY * Average 2100 2600 miles / week * Average Annual Earning Potential $61,000 (.40 ...... Apply Now>>

37 Machine Shop/Metal Inside Sales Representative San Carlos, CA, USA Machine Shop/ Metal Inside Sales Job Description Maxx Metals is a leading metal supplier in the Bay Area. We pride ourselves on durability -- not just in the quality of our products, but in the ...... Apply Now>>

38 CSR Customer Service Representative Eugene, OR, USA Inside sales customer service representative for Eugene Silkscreen, Inc. Help clients via e-mail, phone, walk in with their orders. Knowledge of computers is a MUST. Use of industry specific software ...... Apply Now>>

39 Customer Service Representative Pleasant Hill, CA, USA Ref ID: 00470-0011558303 Classification: Customer Service Representative Compensation: $17.00 to $18.00 hourly A rapidly growing start up is currently seeking for multiple Customer Service Support ...... Apply Now>>

40 Truck Driver - Home Weekly - Average $72,000/Year Lattimore, NC, USA Regional CDL-A Truck Driver Jobs at Ashley Distribution Services LTD Ambassadors Wanted: Truck Driving Opportunities with Weekly Home Time Join one of America's best companies to drive for today... Apply Now>>

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