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Medicare Claim Submission Guidelines Fact Sheet - NACNS

DEPARTMENT OF HEALTH AND HUMAN SERVICESC enters for Medicare & Medicaid ServicesOfficial CMS Information forMedicare Fee-For-Service ProvidersRFACT Sheet Medicare Claim Submission GuidelinesICN 906764 June 2012 This publication offers providers and suppliers the following information: Enrolling in the Medicare Program; Private contracts with Medicare EHQH FLDULHV Filing Medicare claims; Deductibles, coinsurance, and copayments; &RRUGLQDWLRQ RI EHQH WV &2% DQG IN THE Medicare PROGRAMTo enroll in and obtain payment from Medicare , you must apply for: $ 1 DWLRQDO 3 URYLGHU ,GHQWL HU 13, DQG (QUROOPHQW LQ WKH 0 HGLFDUH 3 URJUDP 1) Applying for a National Provider ,GHQWL HU 13, 7KH 13, LV D +HDOWK ,QVXUDQFH 3 RUWDELOLW\ DQG $FFRXQWDELOLW\ $FW +,3$$ $GPLQLVWUDWLYH 6 LPSOL FDWLRQ 6 WDQGDUG DQG D XQLTXH LGHQWL FDWLRQ QXPEHU IRU FRYHUHG KHDOWK FDUH providers. Covered health care providers and all health plans and health care clearinghouses PXVW XVH WKH 13, LQ WKH DGPLQLVWUDWLYH DQG QDQFLDO WUDQVDFWLRQV DGRSWHG XQGHU +,3$$ +HDOWK FDUH SURYLGHUV FDQ DSSO\ IRU DQ 13, LQ one of three ways: 2 QOLQH )RU WKH PRVW HI FLHQW DSSOLFDWLRQ SURFHVVLQJ DQG WR JHW \RXU 13, WKH fastest, you may apply using the web-based application process by logging RQWR WKH 1 DWLRQDO 3 ODQ DQG 3 URYLGHU (QXPHUDWLRQ 6\VWHP 133(6 DW https://QSSHV FPV KKV JRY 133(6 :HOFRPH GRRQ WKH 133(6 ZHEVLWH 3 DSHU $SSOLFDWLRQ)))

Medicare Fee-For-Service Providers R FACT SHEET Medicare Claim Submission Guidelines ICN 906764 June 2012. This publication offers providers and suppliers the following information: ... Clinical diagnostic laboratory services and physician laboratory services;

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