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Quick Reference Billing Guide - JF Part A

  1. JF Part A
  2. Browse by Topic
  3. Claims
  4. Quick Reference Billing Guide
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Browse by Topic

  • Advance Beneficiary Notice of Noncoverage (ABN)
  • Appeals
  • Cardiac and Pulmonary Rehabilitation Programs
  • Claims
    • Quick Reference Billing Guide
  • Compliance Program
  • Dental
  • Direct Data Entry (DDE)
  • Documentation Requirements
  • Drugs, Biologicals and Injections
  • Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
  • Electronic Data Interchange (EDI)
  • Emergencies and Disasters
  • Fraud and Abuse
  • Incentive Programs
  • Medicare Secondary Payer (MSP)
  • Modifiers
  • Noridian Medicare Portal (NMP)
  • Observation
  • Overpayment and Recoupment
  • Preventive Services
  • Remittance Advice (RA)
  • Telehealth
  • Wound Care

Quick Reference Billing Guide

The Noridian Quick Reference Billing Guide is a compilation of the most commonly used coding and billing processes for Medicare Part A claims. It contains information on all of the below:

 
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  • Provider Transaction Access Number (PTAN) - Determine Type of Bill (TOB) and Facility Type
  • Repetitive Services
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  • Timely Filing Requirements
  • Type of Admission or Visit Codes
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  • Value Codes
  • Website Resources - CMS - External

 

Last Updated May 15 , 2025

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End User Agreements for Providers

Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes.

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LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT)
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CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). All Rights Reserved. CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA Web site, https://www.ama-assn.org.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

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2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association web site, http://www.ADA.org.

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LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC")

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To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data Specification Manual is available for purchase on the American Hospital Association Online Store. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. You may also contact AHA at ub04@healthforum.com.

 

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