Article from RTCPA E-News

Article from RTCPA E-News ()

October 12, 2003
CMS Transition to Web-Based Manuals

Beginning October 1, 2003, the Centers for Medicare & Medicaid Services (CMS) will transition from a paper-based manual system to a Web-based system. The process includes the streamlining, updating and consolidating of CMS’ various program instructions into an electronic Web-based manual system for all users. The new system is called the online CMS Manual System and is located at: http://www.cms.hhs.gov/manuals.

The new online CMS Manual System will be organized by functional area (e.g., eligibility, entitlement, claims processing, benefit policy, program integrity). The functional orientation of the new manual will eliminate significant redundancy within the manuals and will streamline the updating process, thus making CMS program instructions available in a more timely and accessible fashion.

Specifically, the CMS Manual System will include the following functional areas:

Pub. 100-01        Medicare General Information, Eligibility, and Entitlement

Pub. 100-02        Medicare Benefit Policy

Pub. 100-03        Medicare National Coverage Determinations

Pub. 100-04        Medicare Claims Processing

Pub. 100-05        Medicare Secondary Payer

Pub. 100-06        Medicare Financial Management

Pub. 100-07        Medicare State Operations

Pub. 100-08        Medicare Program Integrity

Pub. 100-09        Medicare Contractor Beneficiary and Provider Communications

Pub. 100-10        Medicare Quality Improvement Organization

Pub. 100-11        Reserved

Pub. 100-12        State Medicaid

Pub. 100-13        Medicaid State Children’s Health Insurance Program

Pub. 100-14        Medicare End Stage Renal Disease Network Organization

Pub. 100-15        Medicare State Buy-In

Pub. 100-16        Medicare Managed Care

Pub. 100-17        Medicare Business Partners Systems Security

Pub. 100-18        Medicare Business Partners Security Oversight

Pub. 100-19        Demonstrations

Pub. 100-20        One-Time Notification

The table below identifies what current paper-based manuals were used to construct the new Internet-only manuals. It is just a cursory overview. A detailed crosswalk is being developed to guide you from a specific section of the old manual to where the information now appears in the new manuals. In addition, the Internet-only manual will have a crosswalk to show how the information in each section was derived.

Paper-Based Manuals	Internet-Only Manuals
Pub. 06 - Medicare Coverage Issues Pub. 09 - Medicare Outpatient Physical Therapy Pub. 10 - Medicare Hospital Pub. 11 - Medicare Home Health Agency Pub. 12 - Medicare Skilled Nursing Facility Pub. 13 - Medicare Intermediary Manual, Parts 1, 2, 3, and 4 Pub. 14 - Medicare Carriers Manual, Parts 1, 2, 3 and 4 Pub. 21 - Medicare Hospice Pub. 27 - Medicare Rural Health Clinic and Federally Qualified Health Center Pub. 29 - Medicare Renal Dialysis Facility Program Memoranda Pub. 60A - Intermediaries Pub. 60B - Carriers Pub. 60AB - Intermediaries/Carriers Note: Information derived from Pub. 06 to Pub. 60AB was used to develop Pub. 100-01 to Pub. 100-09 for the Internet-only manual.	Pub. 100-01- Medicare General Information, Eligibility and Entitlement Pub. 100-02 - Medicare Benefit Policy Pub. 100-03 - Medicare National Coverage Determinations Pub. 100-04 - Medicare Claims Processing Pub. 100-05 - Medicare Secondary Payer Pub. 100-06 - Medicare Financial Management Pub. 100-08 - Medicare Program Integrity Pub. 100-09 - Medicare Contractor Beneficiary and Provider Communications
Paper-Based Manuals	Internet-Only Manuals
Pub. 19 - Medicare Peer Review Organization	Pub. 100-10 - Medicare Quality Improvement Organization
Pub. 07 - Medicare State Operations	Pub. 100-07 - Medicare State Operations
Pub. 45 - State Medicaid	Pub. 100-12 - State Medicaid Pub. 100-13 - Medicaid State Children’s Health Insurance Program
Pub. 81 - Medicare End Stage Renal Disease Network Organizations	Pub. 100-14 - Medicare End Stage Renal Disease Network Organizations
Pub. 24 - Medicare State Buy-In	Pub. 100-15 - Medicare State Buy-In
Pub. 75 - Health Maintenance Organization/ Competitive Medical Plan Pub. 76 - Health Maintenance Organization/ Competitive Medical Plan (PM) Pub. 77 - Manual for Federally Qualified Health Maintenance Organizations	Pub. 100-16 - Medicare Managed Care
Pub. 13 - Medicare Intermediaries Manual, Part 2 Pub. 14 - Medicare Carriers Manual, Part 2	Pub. 100-17 - Business Partners Systems Security
Pub. 13 - Medicare Intermediaries Manual, Part 2 Pub. 14 - Medicare Carriers Manual, Part 2 Demonstrations (PMs)	Pub. 100-18 - Business Partners Security Oversight
Program instructions that impact multiple manuals or have no manual impact.	Pub 100-19 - Demonstrations
	Pub 100-20 - One-Time Notification