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Eligibility Policy and Procedures Manual Chapter 101 - Coverage Groups and Processing Applications and. 80 - Medicare Secondary Payer (MSP) Procedures. 80.1 - Basic Rule guidelines and requirements in this manual, and other CMS instructions to ensure that:.Medicare Policies and Procedures. Medicare Part B ASC Provider Manual · CMS Ambulatory Surgical Centers Website · CMS Surveyor Guidelines. It contains important information concerning our policies and procedures including claims payment and submission requirements, prior authorization and Medical Policies address the medical necessity of new services or procedures and new applications of existing services or procedures. Clinical UM Guidelines *The patient cost estimator does not apply to any Aetna Medicare Advantage plans. override the policies and procedures in this manual. Here to help you.