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This document details the changes to G-Codes for reporting skilled nursing and therapy services in home health and hospice settings, including new G-Codes for therapy performed by qualified assistants
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Obtain a copy of the CMS Manual System.
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Who needs CMS Manual System?

01
Healthcare providers submitting claims.
02
Administrators managing Medicare and Medicaid programs.
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Research organizations analyzing healthcare data.
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Policy makers developing healthcare regulations.
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The CMS Manual System is a comprehensive set of guidelines and manuals developed by the Centers for Medicare and Medicaid Services (CMS) to provide instructions on claims processing, policy procedures, and operational protocols for Medicare and Medicaid programs.
Entities such as healthcare providers, suppliers, Medicare Administrative Contractors (MACs), and other stakeholders involved in Medicare and Medicaid services are required to adhere to the CMS Manual System.
To fill out the CMS Manual System, refer to the specific manual relevant to your needs, follow detailed instructions provided within the manual, complete any necessary forms accurately, and submit them according to the prescribed guidelines.
The purpose of the CMS Manual System is to ensure consistent implementation of policies and procedures among CMS-related entities, facilitate proper claims processing, and provide clear guidance for compliance with federal healthcare regulations.
Information that must be reported includes patient demographics, service dates, types of services provided, billing codes, and any specific documentation required by existing policies and regulations outlined in the manual.
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