The following links leave our web site. These links are not under the
control of Louisiana Medicare Services. They are provided only as a
convenience to you.
Government Health Care Sites
Centers for Medicare & Medicaid Services (CMS) - (formerly the
Health Care Financing Administration) administers the Medicare and
Medicaid programs, which provide health care to America's aged and
indigent populations, about one in every four Americans, including
nearly 18 million children and and nursing home coverage for
low-income elderly. CMS also administers the new Children's Health
Insurance Program through approved state plans that cover more than
2.2 million children.
CMS Central Provider Page - CMS wants to ensure providers and health care practitioners have quick access to accurate Medicare program
information. In keeping with this goal, the provider-specific pages are a one-stop resource focused on the informational needs and interests of Medicare providers, including physicians and other practitioners.
CMS Forms - CMS is making many of its Program Forms available in Portable Document Format (PDF) for informational purposes.
CMS HIPAA Website - In 1996, Congress passed into law the Health Insurance Portability and Accountability Act (HIPAA). This Act is
comprised of two major legislative actions: Health Insurance Reform and Administrative Simplification. For the health care industry to achieve the potential administrative cost savings, and administrative simplification with Electronic Data
Interchange (EDI), standards have been developed and need to be implemented consistently by all organizations. This site includes General Information, Regulations and Standards, HIPAA Enforcement, Upcoming Events, Educational Materials, and
other HIPAA related links.
CMS MREP Software - CMS presents the Medicare Remit Easy Print (MREP)
software to view and print the Health Insurance Portability and
Accountability Act (HIPAA) compliant 835 for professional providers
and suppliers. This software, which is available for free to
Medicare providers and suppliers, can be used to access and print
remittance advice information, including special reports, from the
CMS Medicare Supplier
Page - CMS wants to ensure suppliers have quick access to accurate Medicare program information. In keeping with
this goal, the supplier information specific pages are a one-stop resource focused on the informational needs and interests of Medicare suppliers.
Therapy Resources: Medicare financial limits on Therapy
(Therapy Caps) is a very hot topic. CMS has developed a Therapy
Resources area on their web site. Therapy Resources provide
information about physical therapy, occupational therapy,
speech-language pathology, and audiology.
Correct Coding Initiative (CCI) - The Centers for Medicare and
Medicaid Services (CMS) developed the National Correct Coding
Initiative to promote national correct coding methodologies and to
eliminate improper coding.
Overview - This web page provides information related
to ICD-10, Procedure Coding System (PCS) and Clinical
MLN Matters - The Centers for Medicare & Medicaid Services and your Medicare Learning
Network introduces MLN Matters, an educational resource for Medicare Providers.
MLN Matters is designed to inform you of important changes to the
Medicare system in a user-friendly format that will accommodate your busy schedule.
Medicare Contractor Provider Satisfaction Survey (MCPSS) -
The Medicare Contractor Provider Satisfaction Survey (MCPSS) is
designed to garner quantifiable data on provider satisfaction with
the performance of Medicare Fee-for-Service (FFS) Contractors. The
MCPSS is one of the tools CMS will use to measure provider
satisfaction levels, a requirement of the Medicare Prescription
Drug, Improvement and Modernization Act of 2003 (MMA).
Medicare Learning Network - This is the CMS Medicare Learning
Network. The Medicare Learning Network web site was established in
response to the increased usage of the Internet as a learning
resource by Medicare health care professionals.
Physician Web Site - A physician Web page is now available
on the CMS Web site. The
page includes links to general information on enrollment, billing,
conditions of participation, publications, education, training,
data, and statistics. There are also links to specific information
on the physician fee schedule, the Practicing Physicians Advisory
Council (PPAC), the Physician Regulatory Issues Team (PRIT),
Medicare payments, and the participating physician directory. We
continue to work on improvements and will be soliciting feedback
to make the page as comprehensive and as easy to navigate as
National Plan and Provider Enumeration System (NPPES) Web Site
The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers, as well as the adoption of standard unique
identifiers for health plans. The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. The Centers for Medicare & Medicaid Services (CMS) has developed the National
Plan and Provider Enumeration System (NPPES) to assign these unique identifiers.
Office of HIPAA Standards Listserv: The Centers for Medicare &
Medicaid Servicesí (CMS) Office of HIPAA Standards (OHS) has
recently developed a listserv for the purpose of sharing pertinent
and timely information on HIPAA administrative simplification
issues with interested parties. By joining the listserv, you will
receive important news and announcements about HIPAA tools and
information. You will also receive the monthly CMS HIPAA Update,
which highlights important new information.
Physician Quality Reporting Initiative - PQRI establishes a
financial incentive for eligible professionals to participate in a
voluntary quality reporting program. Eligible professionals who
successfully report a designated set of quality measures on claims
for dates of service from July 1 to December 31, 2007, may earn a
bonus payment, subject to a cap, of 1.5% of total allowed charges
for covered Medicare physician fee schedule services.
Prescription Drug Coverage - This is The Official
U.S. Government Site for People with Medication. This link will take
you directly to the Part D Prescription Drug Coverage Section.
Provider Enrollment - The CMS Provider Enrollment site is
designed to provide Medicare enrollment information for providers
and suppliers of medical and health services. This section
includes information on how to enroll, application forms and
instructions, contacts for all Intermediaries, Carriers, CMS
Regional Offices, and State Agencies, frequently asked questions
Quarterly Provider Update
(QPU) - The Quarterly Provider Update (QPU) is a listing of the regulations and
program instructions issued by CMS that impact Medicare providers. The QPU is maintained by CMS and available to providers through the CMS website. Providers may elect to join a CMS electronic mailing list to be notified periodically, of
additions to the QPU. The mailing lists are available at http://www.cms.hhs.gov/apps/mailinglists/. The CMS QPU Mailing List makes it easier for users to keep track of
changes to the CMS Quarterly Provider Update (QPU). This service notifies subscribers via email immediately of any regulations or program instructions released during the quarter.
The recently formed Provider Communications Group within the
Center for Medicare Management has developed new provider
audience-based web pages for the Centers for Medicare & Medicaid
Services (CMS) Web site.
The following provider/ supplier pages are already developed:
The Social Security Administration- This is the official site of
the Social Security Administration. You can find information on
everything from Information on Social Security Benefits to Research
and Statistical Data.
Sanctioned Docs Listing-
The HHS Office of Inspector General imposes exclusions on
individuals and entities based on the authority contained in
This List of Excluded Individuals/Entities is a listing of all
parties excluded as of the date of publication.
Health Care Research and Reference
Remark Codes and Claim Adjustment Reason Codes- Your Remittance Advice notice can be a useful tool to your office. The remittance
advice can contain adjustment reason codes and remark codes that explain payment modifications made and other important information related to the claim. This site will give you a description of reason codes and remark codes used on your
remittance advice notice.
UPIN Database- A Unique Physicians Identification Number
database which can be used to search for UPIN information.
National Technical Information Service- NTIS is the CMS
(formerly HCFA) authorized distributor of CCI codes. This site
includes National Correct Coding Initiative (CCI) reference tools,
including the National Correct Coding Policy Manual for Part B
Association - The American Ambulance Association represents ambulance
services across the United States that participate in serving more than
95% of the urban U.S. population with emergency and nonemergency care and
medical transportation services.