Medicare Part B Reference Manual

In our continuing efforts to enhance the level of service we provide to our customers, we are pleased to present our Medicare Part B Reference Manual. This manual contains all the information you will need in your day-to-day interaction with Highmark Medicare Services and the Medicare Part B Program. As you become familiar with the manual, you will find it is very comprehensive.

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Title	HTML Version	PDF Version	Revised
Revision 76			04/2008
TABLE OF CONTENTS			04/2008
Chapter 1 Telephone Numbers, Addresses, And Information Contacts			04/2008
Chapter 2 Overview Of Medicare			07/2002
Chapter 3 Provider Enrollment			04/2008
Chapter 4 Assignment And Participation			04/2007
Chapter 5 Patient Eligibility			01/2008
Chapter 6 Medicare Coverage And Medical Necessity			07/2007
Chapter 7 Local Coverage Determinations			04/2008
Chapter 8 Supplemental Insurance and Medigap/Insurer ID Listing			01/2008
Chapter 9 Completion Of The CMS 1500 - Claim Form			06/2008
Chapter 10 EDI Services			04/2008
Chapter 11 Medicare As Secondary Payer (MSP)			04/2008
Chapter 12 Fee Schedule			01/2008
Chapter 13 Medicare Reimbursement			04/2008
Chapter 14 Comprehensive Limiting Charge Compliance Program			07/2006
Chapter 15 Health Professional Shortage Area (HPSA)			10/2007
Chapter 16 Durable Medical Equipment, Prosthetics,Orthotics			10/2006
Chapter 17 System Outputs			01/2004
Chapter 18 Appeals			04/2008
Chapter 19 Program Safeguards			10/2007
Chapter 20 Diagnosis Coding			10/2004
Chapter 21 Standardization Codes			10/2003
Chapter 22 Global Surgery & Related Services			01/2007
Chapter 23 Evaluation & Management			04/2008
Chapter 24 Medicare Overpayments			04/2008
Chapter 25 Preventive Services			04/2008
Chapter 26 Comprehensive Error Rate Testing (CERT)			01/2008
Appendix A Glossary & Abbreviations			07/2006
Appendix B Modifiers			04/2008
Appendix C Correct Coding Combinations			10/2006
Appendix D CMS Provider Specialty Codes			07/2003
Appendix E Fact Sheet			01/2008
Appendix F Specialty Guides			01/2008
Appendix G HCPCS Codes			01/2008
Appendix H Clinical Laboratory Fee Schedule			01/2008
Appendix I Assistant-at-Surgery Codes			01/2004
Appendix J Approved Transplant Facilities			07/2003
Appendix K Consolidated Billing			07/2006
Appendix L Physician Supervision of Diagnostic Tests			01/2008
Appendix M The Interactive Voice Response Unit (IVR)			04/2008
Appendix N Important Websites			10/2007

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