Nov 15th, 2017
On Oct. 2, 2017, Change Request 9911 modified the Medicare Remittance Advice (RA) for Qualified Medicare Beneficiary (QMB) claims to identify QMB patients and reflect zero cost-sharing liability. As a result, certain payers secondary to Medicare were unable to process direct-billed claims because patient responsibility deductible and coinsurance amounts on the Medicare Remittance Advice (RA) showed...
Oct 2nd, 2017
Tom Price resigned Sept. 29 as secretary of Health and Human Services. In recent weeks, Politico reported that Price had spent over $400,000 in taxpayer money for chartered flights (previous HHS secretaries have flown commercial). Politico also later revealed that the White House had approved the use of military aircraft to fly Price and his ...
Sep 7th, 2017
The Centers for Medicare & Medicaid Services (CMS) filed a proposed rule in the Federal Register on June 20 for year two of the Quality Payment Program. The agency quickly followed up on June 26 with a webinar to provide a digestible overview of the major provisions in the 1,058-page document. The Medicare Access and ...
Sep 6th, 2017
The Centers for Medicare & Medicaid Services (CMS) revised MLN Matters Number SE17020, “Hurricane Harvey and Medicare Disaster Related Texas Claims,” to include new information about Texas disaster relief efforts. On Aug. 26, following President Trump declaring a major disaster exists in Texas, Secretary Price of the U.S. Department of Health and Human Services authorized ...
A staggering 20 trillion gallons of rain have fallen on the Houston area since Hurricane Harvey made landfall less than a week ago. The storm has taken at least 31 lives and destroyed an estimated 30,000 – 40,000 homes in the region. Over 32,000 people are in shelters across the state. The devastation is breaking ...