Part B

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A step-by-step guide to getting started submitting electronic claims for third party entities

The following information outlines procedures related to getting started with EDI along with additional electronic features available to billing services, clearinghouses, and third-party vendors.

A step-by-step guide to getting started submitting electronic claims for providers

The following information outlines procedures related to getting started along with additional electronic features available to EDI providers.

Checklist: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…

Contractor advisory committee (CAC) meeting minutes

View CAC meeting minutes from our meeting on February 19, 2026, on the use of urine-based biomarkers in patients with microhematuria.

Completing the revalidation process

At some point, all Medicare providers/suppliers will be asked to revalidate Medicare enrollment information. Have you been sent a revalidation request? Not sure where to start? Avoid deactivation of…

Completing the revalidation process

At some point, all Medicare providers/suppliers will be asked to revalidate Medicare enrollment information. Have you been sent a revalidation request? Not sure where to start? Avoid deactivation of…

Checklist: Surgical services - Cataract extraction

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for surgical services: cataract extraction.

Contractor advisory committee (CAC) meeting minutes

View CAC meeting minutes from our meeting on February 19, 2026, on the use of urine-based biomarkers in patients with microhematuria.

Incident-to service guidelines

Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are commonly included in the physician’s or practitioner’s bills, and for which…

Checklist: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…