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Understanding Basics of Ambulatory CodingKey elements of ambulatory coding are diagnosis codes, HCPCS codes including CPT codes, modifiers and National Correct Coding Initiative (NCCI) guidelines.
Medicare Advantage/Part D Contract and Enrollment Data | CMSImportant Notice: CMS reloaded the January 2025 files on February 27, 2025. The correct data files should be dated 1/21/2025 or later.The Medicare Advantage (MA) / Part D Contract and Enrollment Data section serves as a
Research, Statistics, Data Systems | CMSLearn about the data, systems, and research behind the programs that provide health coverage to more than 100 million people.
Annual Medicare Participation Announcement | CMSAnnual Medicare Participation AnnouncementView this year s Announcement (PDF).
Medicare Approved Facilities/Trials/Registries | CMSIn recent years, Medicare has issued several national coverage determinations providing coverage for services and procedures of a complex nature, with the stipulation that the facilities providing these services meet cer
Medicare Coverage Determination Process | CMSMedicare coverage is limited to items and services that are reasonable and necessary for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category). National coverage determi
Medicare Summary Notice | CMSThe Medicare Summary Notice (MSN) is used to notify beneficiaries of decisions on claims for Medicare benefits.
Telehealth | CMSFind links to Medicare payment amounts and policies, a list of covered telehealth services, and how to request coverage of a service be via telehealth.
Health Plans - General Information | CMSThis page is an overview of the Health Plan General Information page.
Original Medicare (Part A and B) Eligibility and Enrollment | CMSThis page contains information on Medicare Part A and Medicare Part B eligibility and enrollment. For more information about Medicare for people who are still working, go to our Employer page or I’m 65 and Still Working
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