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Medicare Part B
(* = off-site link)
- Latest News & Updates
- E/M Center
- Transition Info...
- Medical Policy...
- Reference Library...
- Provider Information...
- CERT
- Clinical Trials and IDE Requests
- Drugs & Biologicals...
- Frequently Asked Questions
- MLN Matters*
- Provider Enrollment...
- Provider Notifications...
- FOIA Requests
- System Alerts
Electronic Mailing Lists
At the time of the system problem, if you had an appeal pending for a claim that had previously been denied, the impacts to you would be different than those where the claim denied and is being reprocess for payment. Providers who expected to receive payment for the appealed services instead received a refund requests. Individual contacts are being made to those impacted providers to explain the actions that need to be taken. Once again, we apologize for the inconvenience this has caused.
Due to a technical problem at the Enterprise Data Center (EDC), the delivery of the MCS Edit reports and the ANSI ASC X12N 835 Electronic Remittance Advice(ERA) dated July 2, 2008 are delayed and not yet available. A follow-up listserv will be sent when the reports and ERAs are available. We apologize for any inconvenience.
Highmark Medicare Services is the Medicare Part B carrier for Pennsylvania. Learn more about us in the about us section or browse our site below.
What's New in Part B
- July 03, 2008
Reminder - 2008 Physician Quality Reporting Initiative (PQRI) National Provider Conference Call with Question & Answer Session
The Centers for Medicare & Medicaid Services’ (CMS) Provider Communications Group will host the fifth in a series of national provider conference calls on the 2008 Physician Quality Reporting Initiative (PQRI).
Date: July 9, 2008
Conference Title: 2008 Physician Quality Reporting Initiative National Provider Call
Time: 3:30-5:00 EDTRegistration will close at 3:30 p.m. EDT on July 8, 2008, or when available space has been filled. No exceptions will be made, so please be sure to register prior to this time. To register for the call participants -Â click here.Â
Transition Info
Watch this space for important information regarding upcoming transitions taking place in the Highmark Medicare Services organization. |
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Provider Information
A good resource of reference materials and information needed in your day-to-day interaction with the Medicare program. |
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Outreach & Education
Educational tools and materials to help you understand the ever changing Medicare program. Information you’ll need to help you submit claims correctly. |
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CERT
The CERT Program is a federally mandated, program integrity activity that was established by the Centers for Medicare and Medicaid Services (CMS) to monitor and improve the accuracy of Medicare payments to physicians and other non-physician practitioners. |
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