Become a Medicare Expert

Published 03/02/2021

You have now completed all required steps to become a Medicare Provider, but there's still a lot to learn. Please review the links and information below to learn how to file successful claims, submit required paperwork to CMS in a timely fashion, and stay up to date on Medicare processes and news.

File Required Reports on Time, Every Time

Required Quarterly

Credit Balance Reports

Medicare Credit Balance Reports (CMS-838) help ensure Medicare is aware of monies owed and repaid in a timely manner. Reports must be submitted within 30 days of the end of each calendar quarter.

How to Submit a CMS-838

Required Annually

Medicare Cost Reports (MCRs)

Medicare Costs Reports are used to track expense information for different facility types. MCRs must be submitted within five months of the provider's cost-reporting fiscal year end.

How to Submit an MCR

How Do I File Claims?

Submitting claims accurately is one of the most important things you will do as a Medicare provider. Our Claims section will walk you through the different ways you can file a claim, as well as help resolve any claim denials you experience.

Claim Filing Instructions

Easy Access to LCDs and NCDs

National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) explain what items and services are covered by Medicare.

Medical Policies

Understanding Your Remittance Advice

After your claim has been processed, you will receive a Remittance Advice containing information about your claim's payment, adjustments, denials, refunds, offsets, and more.

Learn More

Filing an Appeal

Claims can be denied for a variety of reasons, but you can file an appeal if you feel it was denied incorrectly.

Get Started


Was this article helpful?

Palmetto GBA Web Chat

Sounds: OnSave Transcript
Please answer the questions below. Additional fields may appear based on previous answers. Fields with a red asterisk (*) are required.
Your InformationClear
1()-x
Inquiry InformationClear
Select your stateClear
Select your stateClear
Provider InformationClear
Patient InformationClear
Patient Name must exactly match the information submitted on the claim, including suffix if applicable.
//
Appeal InformationClear
//
//
Claim InformationClear
//
//
Denial InformationClear
//
//
Rejection InformationClear
DDE InformationClear
Restore InformationClear
//
Prior Authorization InformationClear
//
//
Application InformationClear
Product InformationClear
OtherClear
Additional InformationClear

Are you sure you want to end your chat?

Keep ChattingClose ChatSave Transcript & Close

Webchat

Our dedicated webchat representatives are online to assist you with your general inquiries, provider enrollment, EDI, eServices and more in real-time.