Medicare

Visit the AMA’s Medicare resource center for extensive information on the Medicare program and the AMA’s advocacy efforts.

This information (other than the National Health Insurer Report card results) has been obtained from the CMS Web site.

Contracted Fee Schedule

Payment rules
Claims processing manual

Payer-Specific Claim Edits
National Correct Coding Initiative (NCCI edits)

Medical Unlikely Edits (MUEs)

Medical policies

Appeals

Electronic billing & Electronic Data Interchange (EDI) Information

National Health Insurer Report Card

Review the NHIRC for this year and past years to see how Medicare stacks up on a variety of critical metrics.

For further information on the AMA’s advocacy efforts regarding other areas of Medicare, as well as issues involving other federal agencies, visit the AMA’s Web page on Regulatory Relief.