Provider Additional Resources

Listed below you will find additional resources that can be helpful for a provider. If you have questions or need help, please free to call us at 1.800.624.6961 in the Ohio Valley/Mountaineer Region or 1.800.426.9013 in the HomeTown Region.

CLIA websites

• CLIA
• CLIA - Categorization of Tests

CMS websites and document links

• 2010 Consultation Guidelines 
• CMS Remark Code Information
• CMS Evaluation and Management Coding
• CMS ICDA Codes
• CMS ICD 10
• CMS - Medicare Billing Guidelines - Physician Extenders

HIPAA websites and document links

• HIPAA
• HIPAA Denial & Remark Codes
• HIPAA 5010 Transaction Sets
• Fact Sheet: How to File a Health Information Privacy Complaint with the Office for Civil Rights

Other websites and document links

• 1500 Health Insurance Claim Form & Instructions
• AAFP - American Academy of Family Physicians
• AAP - American Academy of Pediatrics
• ACOG - The American College of Obstetricians & Gynecologists
• ADA - American Dental Association
• ADA Dental Claim Form
• CDC - Centers for Disease Control & Prevention
• Correct Coding Initiative
• Federal Register
• IPA - Upper Ohio Valley Individual Practice Association
• Medco
• Medicare - CMS
• Mountain Health Trust - WV Medicaid
• NPI
• PEIA - West Virginia Public Employees Insurance Agency
• Taxonomy
• UB04 Institutional Form
• W-9 Request for Taxpayer Identification Number and Certification
• United States Department of Health & Human Services - Office for Civil Rights - HIPAA