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Other New York Medicare Contractors
Empire Medicare Services - The Medicare Part A intermediary for all of New York State, and the Medicare Part B carrier for the 16 counties in southeastern New York.
GHI Medicare - The Medicare Part B carrier for Queens County, New York.
National Heritage Insurance Company (NHIC) - The Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.
United Government Services - The Regional Home Health Intermediary (RHHI) for New York.
Other Organizations
American Medical Association (AMA) - The AMA's site is loaded with interesting medical information, including a "personal trainer."
CDC's National Immunization Program - The National Immunization Program (NIP) of the Centers for Disease Control (CDC) has a newly designed Web site, covering topics like the Vaccines for Childres (VFC) program, immunization registries, rotavirus vaccine, and more.
The Centers for Medicare & Medicaid Services (CMS) - CMS is the federal agency that administers the Medicare and Medicaid programs. From the CMS home page, you can access information regarding Medicare, Medicaid, SCHIP, HIPAA, CLIA, and more.
- CMS CAP Web Site - Information regarding the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals, including a beneficiary fact sheet.
- CMS DMEPOS Competitive Bidding Web Site - Information regarding the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.
- CMS Enrollment Web Site - Medicare enrollment information for providers, physicians, practitioners, and suppliers of medical and health services.
- CMS FAQs - A listing frequently asked questions (FAQs) covering a wide range of Medicare topics. FAQs on the CMS Web site are searchable by category and topic.
- CMS HIPAA Web Site - The latest news about the Health Insurance Portability and Accountability Act (HIPAA), and links to general HIPAA information, HIPAA regulations and standards, educational materials, and more.
- CMS HPSA/PSA (Physician Bonuses) Web Site - Visit this site to determine whether the Health Professional Shortage Area (HPSA) bonus payment will automatically be paid for services rendered in your area.
- CMS Hurricane Katrina Information Web Site - Information for providers regarding Hurricane Katrina.
- CMS Mailing Lists Fact Sheet - Information about CMS' electronic mailing lists. Hard copies of the fact sheet can also be ordered by going to the MLN Products ordering page.
- CMS Manuals - Links to CMS Internet-Only Manuals and paper-based manuals.
- CMS MREP Software Page - Information about the Medicare Remit Easy Print (MREP) software, including download information.
- CMS NPI Web Site - Get the latest information about the National Provider Identifier (NPI), inlcuding information on how to apply for an NPI and information about the implementation of NPI.
- CMS Physician Quality Reporting Initiative (PQRI) - 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 percent of total allowed charges for covered Medicare physician fee schedule services.
- CMS Provider Audience Web Pages and Supplier Audience Web Pages - Aids in more effective navigation of the CMS Web Site by focusing on information needs and interests of Medicare providers, suppliers, physicians, and other health care practitioners.
- CMS Rulings - CMS policy regarding the appropriate actions upon receipt of a complaint seeking review of a national or local coverage determination under section 522 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), Public Law 106-554.
- CMS Transmittals - Links to CMS transmittals, dating back to 2000, and CMS program memoranda.
- Glossary - Terms and definitions associated with the Medicare program.
- Medicare Contractor Provider Satisfaction Survey (MCPSS) - CMS' MCPSS Web site is designed to provide current information on the progress of the MCPSS project, as well as maintain related data and reports.
- The Medicare Learning Network - Access CMS articles/publications, computer based training modules, electronic ListServes, quick reference guides, and more.
- Medicare Prescription Drug Coverage Information for Providers - Information about Medicare prescription drug coverage, including resources for health care professionals and beneficiary-focused information and resources.
- National Correct Coding Initiative (NCCI) Edits - The NCCI edits are presented in a user-friendly format that allows for sorting and searching by procedure code.
- National Coverage Determinations - National coverage policies developed by CMS.
- Pub. 100-3 Medicare National Coverage Determinations Manual
- Medicare Coverage Homepage
- Quarterly Provider Update - A comprehensive resource for Medicare regulations and program instructions, published on a quarterly basis.
- ZIP Code Listings - ZIP code changes and ZIP codes requiring a +4 ZIP code extension.
Health Resources and Services Administration (HRSA) - Visit this Web site for the most recent Health Professional Shortage Area (HPSA) designations. Please note that Medicare incentive payments are available only in geographic HPSAs. When viewing the HRSA Web site, the "Type" column will indicate whether the designation listed is a geographic area or other type of HPSA.
Island Peer Review Organization (IPRO) - IPRO's site contains information regarding health care quality review and improvement.
Medical Society Information and Links - The Medical Society of the State of New York has a comprehensive listing of medical societies in every county of the State, plus a listing of specialty-specific societies.
Medicare Contractor Provider Satisfaction Survey (MCPSS) Web Site - The MCPSS is funded by the Centers for Medicare & Medicaid Services (CMS). The purpose of the survey is to garner quantifiable data on provider satisfaction with the performance of Medicare Fee-for-Service (FFS) contractors. This Web site provides an overview of the survey, information regarding the administration of the survey, and access to the survey.
National Plan and Provider Enumeration System (NPPES) - This site provides information about the National Provider Identifer (NPI), including application information.
National Technical Information Service (NTIS) - This site provides information on the Correct Coding Initiative (CCI) and allows you to order CCI manuals and updates.
New York State Chiropractic Association (NYSCA) - The NYSCA Web site contains a variety of chiropractic information for the public, as well as clinical information for the health care professional. Information includes upcoming events for NYSCA members and chiropractic professionals, legislative activities, and more.
Office of Inspector General (OIG) - The OIG's site contains information on fraud detection and prevention, compliance guidelines, audits and investigations, reports, and publications.
Washington Publishing Company - Access the WPC Web site for code lists and various EDI and HIPAA information.
- Remittance Advice Remark Codes and Claim Adjustment Reason codes - Remittance Advice Remark Codes and Claim Adjustment Reason Codes can be found on the Washington Publishing Company (WPC) Web site. These codes are used within the 835 Transaction to convey information about remittance processing or to provide a supplemental explanation for an adjustment.
UPIN Directory
The following are free online UPIN search engines. Please note that this is not an all inclusive list.
See our Beneficiary Information pages for more Medicare-related links. |
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