In Billing
Jul 2nd, 2010
Providers that did not get their Provider Enrollment, Chain and Ownership System (PECOS) enrollment applications approved by the July 6 deadline are getting a temporary reprieve. The Centers for Medicare & Medicaid Services (CMS) says it will not, for the time being, implement automatic rejections of claims submitted by providers that are not enrolled in PECOS. Until the ...
In Audit
Jul 2nd, 2010
Office of Inspector General (OIG) audit and investigative activity between Oct. 1, 2009 and March 31, 2010 resulted in expected recoveries amounting to approximately $3.1 billion, according to the agency’s Semiannual Report to Congress. This dollar amount is considerably lower than the $20.97 billion the OIG said it expected to recover in its Semiannual Report ...
In Billing
Jul 2nd, 2010
The 2011 Medicare Physician Fee Schedule (MPFS) proposed rule, issued June 25 by the Centers for Medicare & Medicaid Services (CMS), projects a negative 6.1 percent update to physician payment rates at the start of 2011. If you add to that the 2.2 percent update legislation recently awarded to physicians, which expires Nov. 30, and the ...
In CMS
May 14th, 2010
An interim final rule with comment period (IFC), which the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register on May 5, implements provisions in the Patient Protection and Affordable Care Act (Health Reform law). The provisions serve to promote quality health care and eliminate fraud and abuse in high-risk areas by ...