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Questions about your CMS credentialing status, Medicare billing rules, or HIPAA compliance should go straight to the source. This page links you directly to the official government resources that govern these areas.
Not legal or compliance advice: These links point to official CMS and HHS resources. For guidance specific to your practice, consult your compliance officer, billing consultant, or legal counsel.
CMS Benefit Policy Manual (Chapter 15) Official rules on plans of care, evaluations, and therapy qualifications. View the manualCMS Medicare Claims Processing Manual (Chapter 5) Outpatient billing regulations, including the 8-Minute Rule and therapy modifiers. View the manual
PECOS Revalidation List Check your active Medicare enrollment and revalidation status. Go to PECOS
HHS HIPAA Privacy Rule Federal guidelines on patient privacy and protecting clinical data. View HHS guidance