Helpful Links

This area of the CMS site supplies fee-for-service providers an array of information, ranging from claims appeal procedures and ambulance services, to durable medical equipment centers and rural health clinics.

Follow this link for more information about the American Medical Association's Current Procedural Terminology (CPT), including a search engine of CPT codes.

Specific payment information, including national ASC drugs fees, is available in the Downloads section of this page.

Follow this path to the American Dental Association's official Web site.

Provider specialty page on CMS.HHS.gov

Provider specialty page on CMS.HHS.gov

Emergency Information and up-to-date information for people with Medicare and Medicaid and their providers with regard to natural disasters, extreme weather, and emergencies.

CMS Programs & Information

An electronic mailing list service for those interested in receiving news from the Centers for Medicare & Medicaid Services (CMS)

Quarterly Provider Update: A Source for National Medicare Provider Information

HIPAA-Related Code Lists (e.g., Provider Taxonomy Codes, Claim Adjustment Reason Codes, Claim Status Category Codes, Health Care Services Decision Reason Codes, Insurance Business Process Application Error Codes, Remittance Remark Codes)

The CFR is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government.

This application provides access to the CMS.gov Contacts Database.

Provider specialty page on CMS.HHS.gov

Jurisdiction C

(Electronic Data Interchange)

MLN Educational Web Guide providing educational and informational resources. The guide also includes links to information, such as educational products, press releases, and links to other web pages internal and external to CMS.

The EPLS is an electronic, web-based system that identifies those parties excluded from receiving Federal contracts, certain subcontracts, and certain types of Federal financial and non-financial assistance and benefits.

The purpose of FQHCs is to provide primary care services in underserved rural and urban communities. This link takes you to the FQHC specialty page on cms.hhs.gov.

Link to the Florida Benefit Integrity Support Center (FLA-BISC) Official Site

CMS program related forms

Information on CMS.HHS.gov

New Information Regarding Medicare Payment and Coding for Drugs and Biologics.

HIPAA (Health Insurance Portability and Accountability Act of 1996)

Provider specialty page on CMS.HHS.gov

Provider specialty page on CMS.HHS.gov

Provider specialty page on CMS.HHS.gov

HPSAs (Health Professional Shortage Areas) and PSAs (Professional Scarcity Areas)

Health Resources and Services Administration (HRSA) Health Professional Shortage Area (HPSA) homepage, including links to HPSA scores, database, designation criteria, and guidelines

ICD-9-CM Coding Educational Resource Web Guide

ICD (International Classification of Diseases) - NCHS (National Center for Health Statistics)

Immunizations: Influenza/Pneumococcal Campaign

Mammography Services

Medicare Advantage and Prescription Drug Plan Addresses

Medicare Benefit Policy Manual

Here is an overview of the MCPSS that is designed to measure provider satisfaction with the performance of Medicare fee-for-service contractors, which process more than $280 billion in claims each year.

Medicare Learning Network

Medicare Learning Network (MLN) Publications

Health care professionals need to be aware of Medicare Prescription Drug Coverage and how it impacts their patients. [JSM 06312, M 200604-01]

Medicare Provider/Supplier, Physician and Health Care Practitioner Enrollment

MEDPARD (Participating Physician Directory) - National Searchable Database

The Medicare Learning Network (MLN) is your destination for educational information for Medicare fee-for-service providers. [CR 3129, M 200604-05, SE 0620]

Learning resources and Products for the health care professional.

National "Coverage Determinations (NCD) Index"

National "Medicare Coverage Database"

National "Medicare Coverage Homepage"

National "Medicare Medical Review Program"

National Correct Coding Initiatives Edits

The NPI Registry enables you to search for NPPES information pertaining to an organizational or individual provider. All information produced by the NPI Registry is provided in accordance with the NPPES Data Dissemination Notice.

NSC (National Supplier Clearinghouse)

Part B Drug Average Sales Price

Part D Prescription Drug Coverage

Provider specialty page on CMS.HHS.gov

Provider specialty page on CMS.HHS.gov

Physician Quality Reporting Initiative (PQRI) [JSM 07226,February 16,2007]

Place of service codes and descriptions should be used on professional claims to specify where the service(s) was rendered.

Pub. 100-04, Medicare Claims Processing Manual, Chapter 26 Completing and Processing Form CMS-1500 Data Set, 10.5 Place of Service Codes (POS) and Definitions (see pages 19-27).

Provider Type page on CMS.HHS.gov

Preventive services information on CMS.HHS.gov.

Program Transmittals

Florida RHHI contractor.

The purpose of RHCs is to increase the availability and accessibility of primary and emergency health care where there is a shortage of health care service professionals. This link takes you to the RHC specialty page on cms.hhs.gov.

Provider specialty page on CMS.HHS.gov