Billing & Collections
Physicians Billing for Technical Component of Advanced Diagnostic Imaging Must be Accredited
Beginning Jan 1, 2012, suppliers furnishing the technical component of advanced diagnostic imaging services for which payment is made under the physician fee schedule must be accredited by a CMS-designated accreditation organization. In the case where a physician chooses to contract out those services to an accredited mobile unit, the physician must be accredited in [...]
Read Full Post | Make a Comment ( None so far )From the Medicare Learning Network: “5010: Taking Electronic Billing and Electronic Data Interchange to the Next Level”
Now available to order in hardcopy! The new Medicare Learning Network® product titled “5010: Taking Electronic Billing and Electronic Data Interchange (EDI) to the Next Level” is now available in both downloadable and hardcopy formats. This educational tool is designed to provide education on the upcoming implementation of Versions 5010 and D.0, which will replace [...]
Read Full Post | Make a Comment ( None so far )Medicare Learning Network: Now Available for Download: The Medicare Overpayment Collection Process
The publication titled “The Medicare Overpayment Collection Process” (previously titled “What Physicians and Other Suppliers Should Know About Medicare Overpayments”), which provides the definition of an overpayment and information about the collection of Medicare physician and supplier overpayments, is now available in downloadable format from the Medicare Learning Network® at http://www.cms.gov/MLNProducts/downloads/OverpaymentBrochure508-09.pdf.
Read Full Post | Make a Comment ( None so far )Medicaid Alert
Medicaid Alert Remittance and Status Reports in PDF Format References · NC Electronic Claims Submission/Recipient Eligibility Verification (NCECS) Web Tool · Remittance and Status Reports in PDF Format Request Form Instructions · May 2010 Medicaid Bulletin · June 2010 Medicaid Bulletin Effective with the June 8, 2010, checkwrite, the N. C. Medicaid Program will [...]
Read Full Post | Make a Comment ( None so far )President signs bill halting Medicare physician payment cut
Today, CMS released the following statement: On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.” This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010. The Centers [...]
Read Full Post | Make a Comment ( None so far )The President Signs the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 — 2.2 Percent Medicare Physician Fee Schedule Update for June 1, 2010, Through November 30, 2010
On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.” This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010. The Centers for Medicare & Medicaid Services [...]
Read Full Post | Make a Comment ( 1 so far )Special update: Medicare physician payment cut blocked
The House of Representatives just passed the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (H.R. 3962) by a vote of 417 to 1. This legislation contains provisions that block the 21.3 percent cut to Medicare physician payments until Nov. 30. The Senate passed identical legislation late last week. [...]
Read Full Post | Make a Comment ( None so far )Struggling With When to Code and Bill 99211 – By Jeannette Kirts, RHIT, CPC, CPC-I
There are many coders and physicians that struggle with when and why to report the 99211 E&M Code. Definition: Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically 5 minutes are spent performing these [...]
Read Full Post | Make a Comment ( None so far )The Medicare Fraud and Abuse Web-based Training Course
The Medicare Fraud and Abuse Web-based Training Course has been revised and is now available – The course provides information helpful for Medicare providers and suppliers involved in providing and billing for services to people with Medicare. This activity provides information that will increase awareness of Medicare fraud and abuse; provide information regarding correct billing [...]
Read Full Post | Make a Comment ( None so far )Providers Must Wait for Medicare Claim Crossover Process to Work
The Centers for Medicare & Medicaid Services (CMS) reminds all providers, physicians, and suppliers to allow sufficient time for the Medicare crossover process to work—approximately 15 work days after Medicare’s reimbursement is made, as stated in MLN Matters Article SE0909 (http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0909.pdf) — before attempting to balance bill their patients’ supplemental insurers. That is, do not [...]
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