Physician Center
Spotlights
- CMS-1524-FC : Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2012 (Published: November 28, 2011)
- Blood Clotting Factor Furnishing Fee
- CY 2012 Physician Fee Schedule Proposed Rule : Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2012 (Published: July 29, 2011)
- CMS-1582-PN : Five Year Review of Work Relative Value Units Under the Physician Fee Schedule (Published: June 6, 2011)
- The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of updated educational materials on Section 6407 of the Affordable Care Act of 2010, which established a face-to-face encounter requirement for certification of eligibility for Medicare home health services. See the Home Health Agency (HHA) Center part of the Spotlights section.
- Do you want to find out Medicare Fee-for-Service information quickly? Subscribe to a CMS Electronic Mailing Lists: Keeping Medicare Fee-For-Service Providers Informed [PDF, 410KB] , such as the Physicians listserv, that suits your needs!
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
- Section 10332 of the Affordable Care Act: Listening Session Materials - View the Agenda [PDF, 19KB] , Backgrounder [PDF, 66KB] , and Slides [PDF, 115KB]
Medicare Learning Network (MLN) Spotlights
Go to the Spotlight page for the latest MLN products and announcements! Check it often!
Important Links
Billing / Payment
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
- CMS Recognized P-C IOLS and A-C IOLs [PDF, 17KB]
- PFS Carrier Specific Files
- PFS Relative Value Files
- PFS National Payment Amount File
- Electronic Billing & EDI Transactions
- National Correct Coding Initiatives Edits
- Physician Fee Schedule
- Sustainable Growth Rates & Conversion Factors
- Competitive Acquisition for Part B Drugs & Biologicals
- Historical Part B Drug Pricing Files
- Physician Bonuses
- Consolidated Billing
- SNF Consolidated Billing
- Psychological and Neuropsychological Tests
- Telehealth
- Service Furnished to Undocumented Aliens
Enrollment/ Participation/ Certification
- CMS 460 (90 KB) [PDF, 216KB] About Medicare Participation: Information about accepting assignment.
- Medicare Provider-Supplier Enrollment
- Enrollment Applications
- Survey & Certification - General Information
Policies/Regulations/Legislation
- PFS Federal Regulation Notices
- Quarterly Provider Updates
- Federal Advisory Committee Act (FACA)
- Physician Regulatory Issues Team (PRIT)
- Physician Self Referral
- Emergency Medical Treatment & Labor Act (EMTALA)
Education
- Medicare Learning Network (MLN) General Information
- MLN Educational Web Guides
- MLN Matters Articles ( Search Tips )
- MLN Products
- Prevention - General Information - Information on various activities geared toward disease prevention and health promotion
- Preventive Services
- Provider resources - Adult Immunizations
Coverage
Coding
CMS Manuals & Transmittals
- Manuals
- Internet-Only Manuals (IOMs)
- Physician Transmittals
- Transmittals
- Paper-Based Manuals -- Crosswalks from Paper-Based Manuals to Internet-Only Manuals
- To receive changes to the CMS Quarterly Provider Update, subscribe to the CMS-QPU Listserv from the CMS Mailing Lists Page.
- National Coverage Determinations (NCD) Manual - Pub. 100-03
Accountable Care Organizations Workshop
- Recordings and Transcripts for the October 5, 2010 Workshop Regarding Accountable Care Organizations, and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback, and Civil Monetary Penalty (CMP) Laws (Posted 10/19/10):
- Transcript of Morning / Opening Comments and FTC Panels [PDF, 363KB]
- Transcript of Afternoon / HHS Panel and Listening Session [PDF, 246KB]
Value-Based Purchasing Information
- "Medicare Value-Based Purchasing Program for Physician and Other Professional Services Listening Session" -- December 9, 2008: Transcript [PDF, 482KB] , Agenda [PDF, 20KB] , PowerPoint slides [ZIP, 393KB] Issues Paper [PDF, 211KB] regarding development of a Plan to transition to Medicare Value-Based Purchasing for Physician and Other Health Professional Services. The Plan was mandated by the Medicare Improvements for Patients and Providers Act of 2008.
- - Medicare Program; Plan to Transition to a Medicare Value-Based Purchasing Program for Physician and Other Professional Services: Listening Session, December 9, 2008. Published October 24, 2008.
Forms
Medicare Prescription Drug Coverage
National Provider Identifier
Cost Reporting
Specialty Web Pages
Medicare Secondary Payer
Fraud & Abuse
- Physician Self Referral
- Beneficiary Complaint Response Program
Specialty Hospitals
Initiatives
- Medicare FFS Physician Feedback Program/Value-Based Payment Modifier
- Physician Compare Initiative
- Physician Quality Reporting System
- EHR Incentive Programs
- E-Prescribing Incentive Program
- Beneficiary Notices Initiative (BNI)
Contacts
- Physician Regulatory Issues Team (PRIT)
- Provider Call Center Toll Free Numbers Directory [ZIP, 38KB] via Toll-Free Numbers and Websites -- A listing of the toll free numbers that CMS has installed at Medicare contractor sites.
- CMS Regional Offices
- Coordination of Benefits - General Information
- Organ Procurement Directory
How to Stay Informed
- Join the Listserv (or mailing list). Scroll to the right side of the page to Subscribe.
- Physicians, Nurses and Allied Health Professionals Open Door Forum
- : CMS Media Release Search
- Research Reports : A series of reports on the health care industry.
