Risk Management & Insurance Industry - Knowledge & Resource Center

GCat: Health - Medicine
MCat: Health
Cat: CMS

CMS - Center for Medicare & Medicaid Services (formerly HCFA: Health Care Financing Administration) directories, fees, contracts, rulings, Medicare manuals, fee payment schedules, contracts, compliance program, etc. Medicare payment rates. Complete text of Board decisions and rulings.

30 Resources
CLIA Program [12561] ?

Ensures the accuracy, reliability and timeliness of clinical laboratory testing

CMS Forms [12556] ?

Download Medicare forms

Manuals: Medicare & Medicaid Programs [7825] ?

Download various Medicare and Medicaid manuals - full text

Medicare & Hospice [12000] ?

Hospice care is covered under Medicare Part A for terminally ill patients

Medicare & Immunizations [12547] ?

General facts about adult immunization and links to other resources

Medicare & Medicaid Services' (CMS) Quarterly Provider Update [15164] ?

Regulations and notices as published in the Federal Register

Medicare Advance Beneficiary Notice [12552] ?

Reference Guide to ABNs

Medicare Ambulance Fee Schedule [6002] ?

Ambulance Fee Schedule Public Use Files

Medicare Clinical Laboratory Fee Schedule [12554] ?

Lab NCDs - national coverage determinations (NCDs) for clinical diagnostic laboratory services

Medicare Home Health Agency Center [6004] ?

Resources developed to incorporate all Home Health specific information in one place

Medicare Hospital Outpatient Prospective Payment System [12549] ?

All services paid under the new PPS are classified into groups called Ambulatory Payment Classifications or APCs

Medicare Inpatient Rehabilitation Facility PPS [11998] ?

IRF PPS highlights, data files, fact sheets and more

Medicare Long Term Care Hospital Prospective Payment System [12548] ?

Reference materials for Prospective Payment System for Long-Term Care Hospitals

Medicare Managed Care Manual [3729] ?

Information on managed care & medicaid

Medicare Provider Technical Information [7829] ?

Information for physicians, health care professionals, researchers, etc.

Medicare Skilled Nursing Facility Prospective Payment System [12550] ?

How payment is made for Medicare skilled nursing facility (SNF) services

Medicare Special Fraud Alerts & Advisory Bulletins [15170] ?

Special Fraud Alerts, Medicare Advisory Bulletins and Special Advisory Bulletins from OIG

Medicare Swing Bed Prospective Payment System [12551] ?

Reference material on Swing Bed PPS

Medicare: Advisory Opinions [11457] ?

Opinions from 1997 to the present

Medicare: OIG Exclusions [15172] ?

Database of individuals and entities that are excluded from participation in Medicare, Medicaid

Medicare: OIG Safe Harbor Regulations [15171] ?

The anti-kickback statute and the OIG safe harbor provisions

OIG Authorities & Federal Register Notices [15169] ?

Full text of the Federal Register Notices

OIG Compliance Program Guidance [8884] ?

Compliance program guidance for hospitals, clinical labs, home health care, etc.

OIG Corporate Integrity Agreements [15173] ?

Current List of Corporate Integrity Agreements and Settlement Agreements with Integrity Provisions

OIG Semi-Annual Reports [15182] ?

Significant findings and recommendations by the Office of Inspector General

Rulings of the CMS Administrator [7871] ?

Full text of the decisions of the Administrator that serve as precedent final opinions

State Children's Health Insurance Program [12560] ?

Low-cost health insurance for uninsured children is available in each state

US Dept of Health & Human Resources Compliance Guidance [15181] ?

For nursing facilities, hospices, and more

US Health & Human Services OIG - Fraud [15174] ?

Fraud activities of the Office of the Inspector General for the US Dept of Health and Human Services

US Health & Human Services OIG Newsroom [16737] ?

News releases and more


Related Categories & Information

- rmLibrary : Related Categories (1)

Health / Medicare
Beneficiary and consumer info


- Cross References to other LAD Libraries (4)


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