Part A Homepage

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Highmark Medicare Services is the Medicare Part A intermediary for Pennsylvania, Maryland and Washington, DC. Learn more about us in the about us section or browse our site below.

What's New in Part A

July 23, 2008
- MLN Matters Articles From CMS
  
  New:
  
  SE0826 – Important Information on the New Medicare Law – The Medicare Improvements for Patients and Providers Act of 2008
  
  MM6115 – Hospice Discharge for Cause
  
  MM6116 – Revision of the Requirements for Denial of Payment for New Admissions (DPNA) for Skilled Nursing Facility (SNF) Billing
  
  Revised:
  
  MM6080 – July 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.2
  
  Rescinded:
  
  SE0815 – Reminder that Exceptions to Therapy Caps are Restricted as of July 1, 2008

View all Part A News

Transition Info Watch this space for important information regarding upcoming transitions taking place in the Highmark Medicare Services organization.		Provider Information A good resource of reference materials and information needed in your day-to-day interaction with the Medicare program.
J12 \| EDC		Reference Materials \| Reimbursement \| MSP \| FOIA \| Benefit Integrity \| Frequently Asked Questions

Medical Policy Coverage guidelines to help with reporting services and determine reimbursement.		Outreach & Education Educational tools and materials to help you understand the ever changing Medicare program. Information you'll need to help you submit claims correctly.
Look Up A Policy \| Current LCDs \| NCDs \| Draft LCDs \| Open Sessions		Calendar Of Events \| POE \| Request Education \| Training Modules

EDI Efficient, direct, and intelligent solutions for our customers.		CERT The CERT Program is a federally mandated, program integrity activity that was established by the Centers for Medicare and Medicaid Services (CMS) to monitor and improve the accuracy of Medicare payments to physicians and other non-physician practitioners.
Becoming An Electronic Biller \| Tech Support		General CERT Information