Federal (United States) · Agency guidance
Chapter 36
83 sections
83 sections
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 01Foreword
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 10Background
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 10.1Competitive Bidding Implementation Contractor (CBIC)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 10.2Definitions
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20DMEPOS Competitive Bidding Process
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.1Items Subject to Competitive Bidding
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.2Competitive Bidding Areas (CBAs)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.3No Administrative or Judicial Review
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.4Eligibility Requirements to Submit a Bid
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5Becoming a Contract Supplier
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5.1Small Suppliers and Networks
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5.2Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5.3Home Health Agencies
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5.3.1Mail-Order Suppliers for Diabetic Supplies
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5.4Items Furnished on a Mail Order Basis
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.5.4.1Mail-Order Suppliers for Diabetic Supplies
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6Noncontract Suppliers
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.1Special Rules for Certain Rented Durable Medical Equipment (DME),
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.1.1Requirements for Grandfathered Suppliers
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.1.1.1Eligibility
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.1.1.2Servicing Current Beneficiaries
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.1.1.3Notification to Beneficiaries by Suppliers that Choose to Become
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.1.1.4Notification to Beneficiaries for Suppliers that Choose Not to
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.2New Period of Continuous Use
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.3Picking Up Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.4Transfer of Title for Oxygen Equipment and Capped Rental DME
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.6.5Capped Rental DME Furnished Prior to January 1, 2006
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 20.7Use of Advanced Beneficiary Notice (ABNs)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30Contract Supplier Responsibilities
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.1Compliance with Laws and Regulations
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.2Requirement to Maintain Medicare Billing Privileges and
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.3Servicing the Entire Geographic Area of a CBA
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.4Prescription for Particular Brand, Item, or Mode of Delivery
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.5No Discrimination Against Beneficiaries
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.6Quarterly Reports
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.7Reporting Change of Ownership (CHOW)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.8Submission of Claims
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.9Breach of Contract
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.10Request for Reconsideration
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40Payment Rules
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.1Single Payment Amount
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.2Conditions for Payment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3Payment for Grandfathered Items Furnished During the Initial
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1Payment Categories
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1.1Inexpensive or Routinely Purchased Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1.2Items Requiring Frequent and Substantial Servicing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1.3Oxygen and Oxygen Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1.4Other DME or Capped Rental Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2Payment for Grandfathered Items Furnished During Subsequent
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2.1Payment for Capped Rental Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2.2Payment for Inexpensive or Routinely Purchased Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.3Accessories and Supplies for Grandfathered Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.4Payment for Rental of Inexpensive or Routinely Purchased DME
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.5Payment for Oxygen and Oxygen Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.5.1Change in Suppliers for Oxygen and Oxygen Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.6Payment for Capped Rental DME Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.6.1Change in Suppliers for Capped Rental DME Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.7Payment for Purchased Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.8Payment for Repair and Replacement of Beneficiary-Owned Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.9Payment for Rental Enteral Nutrition Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.9.1Maintenance and Servicing of Enteral Nutrition Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.10Traveling Beneficiaries
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.10.1Traveling Beneficiaries and Transfer of Title of Oxygen Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.11Billing Procedures Related to Advance Beneficiary Notice (ABN)
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.12Billing Procedures Related to Downcoding under the Competitive
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50Special Billing Instructions for the DMEPOS Competitive Bidding
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.1Electronic Submission of Claims and Mandatory Assignment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.2New Modifiers for DMEPOS Competitive Bidding Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.3Billing for Items in Multiple Product Categories
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.4Claims Jurisdiction and Billing Procedures for Traveling Beneficiaries
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.5Claims for DMEPOS Items Furnished to a Beneficiary by a Skilled
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.6Billing for Mail Order Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.7Claims Submitted for Physicians and Treating Practitioners Who
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.8Billing for Oxygen and Oxygen Equipment
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.9Billing for Capped Rental DME Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.9.1Certificates of Medical Necessity (CMN) and Capped Rental Billing
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.10Claims Submitted for Hospitals Who Furnish Competitively Bid Items
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.11Claims Submitted for Medicare Beneficiaries Previously Enrolled in a
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.12Claims for Repairs and Replacements
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.13Billing for Oxygen Contents to Suppliers After the 36th Month Rental
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.14Purchased Accessories & Supplies for Use With Grandfathered
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.15Hospitals Providing Walkers and Related Accessories to Their Patients
- Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 50.16Exception for Wheelchair Accessories Furnished with Non-