Practice Management Resources

CMS

Centers for Medicare & Medicaid Services (CMS)

http://cms.hhs.gov

Information for plans and providers

http://cms.hhs.gov/professionals/default.asp

Medicare Learning Network (products, services and educational activities offered by CMS and Medicare contractors)

http://www.cms.hhs.gov/medlearn/default.asp

CMS Advisory Opinions

http://cms.hhs.gov/physicians/aop/default.asp

LMRP

Local Medicare Review Policy

(sponsored by CMS)

http://www.lmrp.net/

Draft Local Medicare Review Policy

(sponsored by CMS)

http://www.draftlmrp.net/

OIG

HHS Office of the Inspector General

http://oig.hhs.gov/

Safe Harbor Regulations

http://oig.hhs.gov/fraud/safeharborregulations.html

Fraud Alerts, Bulletins and Other Guidance

http://oig.hhs.gov/fraud/fraudalerts.html

Individuals and entities excluded from federal programs

http://oig.hhs.gov/fraud/exclusions.html

Special Advisory Bulletin: Offering Gifts and Other Inducements To Beneficiaries (September 2002)

http://oig.hhs.gov/fraud/docs/alertsandbulletins/
SABGiftsandInducements.pdf

HHS Office of Inspector General - OIG Compliance Program for Individual and Small Group Physician Practices (October 2000)

http://oig.hhs.gov/authorities/docs/physician.pdf

State

Carrier

Website

AL

Cahaba GBA

http://www.almedicare.com/provider/services.htm

AK

NORIDIAN

http://www.noridianmedicare.com/

AZ

NORIDIAN

http://www.noridianmedicare.com/

AR

Arkansas Blue Cross/Blue Shield

http://www.arkmedicare.com/provider/provinfo.html

CA

NHIC

http://www.medicarenhic.com/

CO

NORIDIAN

http://www.noridianmedicare.com/

CT

First Coast Service Options, Inc.

http://www.connecticutmedicare.com/

DE

TRAILBLAZER

http://www.trailblazerhealth.com/

DC

TRAILBLAZER

http://www.trailblazerhealth.com/

FL

First Coast Service Options, Inc.

http://www.floridamedicare.com/

GA

Cahaba GBA

http://www.gamedicare.com/provider/provinfo.htm

HI

NORIDIAN

http://www.noridianmedicare.com/

ID

CIGNA

http://www.cignamedicare.com/partb/

IL

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=524

IN

ADMINISTAR

http://www.astar-federal.com/anthem/affiliates/adminastar/medb

IA

NORIDIAN

http://www.noridianmedicare.com/

KS

Kansas Blue Cross/Blue Shield

http://www.kansasmedicare.com/part_B/part_b.htm

KY

ADMINISTAR

http://www.astar-federal.com/anthem/affiliates/adminastar/medb

LA

Louisiana Blue Cross/Blue Shield

http://www.lamedicare.com/

ME

NHIC

http://www.medicarenhic.com/

MD

TRAILBLAZER

http://www.trailblazerhealth.com/

MA

NHIC

http://www.medicarenhic.com/

MI

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=525

MN

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=809

MS

Cahaba GBA

http://www.msmedicare.com/provider/home.htm

MO

Arkansas Blue Cross/Blue Shield

http://www.medicare.bcbsmt.com/provider_part_b.htm

MT

Montana Blue Cross/Blue Shield

http://www.medicare.bcbsmt.com/provider_part_b.htm

NE

Kansas Blue Cross/Blue Shield

https://www.bcbskc.com/WebSec/ASP/
NonMemberLogin.asp?LVL=PROVIDER

NV

NORIDIAN

http://www.noridianmedicare.com/

NH

NHIC

http://www.medicarenhic.com/

NJ

Empire Medicare

http://www.empiremedicare.com/newj/clickwrap/clickwrapnj.htm

NM

NM Blue Cross/Blue Shield

http://www.oknmmedicare.com/provider/provinfo.html

NY

GHI Medicare

(Queens County)

http://www.ghimedicare.com/provider/provitem.html

NY

Empire Medicare

(Counties of Bronx, Columbia, Delaware, Duchess, Greene, Kings, Nassau, New York, Orange, Putnam, Richmond, Rockland, Suffolk, Sullivan, Ulster and Westchester)

http://www.empiremedicare.com/newj/
clickwrap/clickwrapprtb.htm

NY

Upstate Medicare Division

(All other Counties)

http://www.umd.nycpic.com/provinfo.html

NC

CIGNA Healthcare

http://www.cignamedicare.com/partb/

ND

NORIDIAN

http://www.noridianmedicare.com/

OH

Palmetto GBA

http://www.palmettogba.com/palmetto/Providers.nsf/(Home)/
Providers+Home?OpenDocument

OK

OK Blue Cross/Blue Shield

http://www.oknmmedicare.com/provider/provinfo.html

OR

NORIDIAN

http://www.noridianmedicare.com/

PA

HGSA Administrators

http://www.hgsa.com/professionals/index.shtml

RI

Rhode Island Blue Cross/Blue Shield

http://www.rimedicare.org/provider/index.cfm

SC

Palmetto GBA

http://www.palmettogba.com/palmetto/Providers.nsf/Home/
Providers+Part+B+Carrier+Home?OpenDocument

SD

NORIDIAN

http://www.noridianmedicare.com/

TN

CIGNA Healthcare

http://www.cignamedicare.com/partb/

TX

TRAILBLAZER

http://www.trailblazerhealth.com/

UT

Utah Blue Cross/Blue Shield

http://utmedicare.regence.com/medicare_part_b/index.html

VT

NHIC

http://www.medicarenhic.com/

VA

TRAILBLAZER

http://www.trailblazerhealth.com/

WA

NORIDIAN

http://www.noridianmedicare.com/

WV

NATIONWIDE

http://www.palmettogba.com/palmetto/Providers.nsf/(Home)/
Providers+Home?OpenDocument

WI

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=523

WY

NORIDIAN

http://www.noridianmedicare.com/

ALL

Railroad Medicare

(Palmetto GBA)

http://www.palmettogba.com/palmetto/Providers.nsf/Home/
Providers+Railroad+Medicare+Home?OpenDocument