In Billing
Jul 14th, 2014
When billing for ambulance services, please note that the Centers for Medicare & Medicaid Services (CMS) recently made a couple of policy changes. Signature Requirements Effective August 12, 2014, a representative signing for ambulance services on behalf of a Medicare beneficiary does not need to include his or her address on the Form-1500. See Transmittal ...
In CMS
Jul 1st, 2014
Ambulance Manager Mikhail Vasserman submitted $3.6 million in fraudulent claims to Medicare at Penn Choice Ambulance, Inc., of Huntingdon Valley, Pa. He was sentenced to five years in prison for 14 counts of conspiracy to commit healthcare fraud, falsely submitting healthcare statements, and paying kickbacks to patients. Six other employees, including the owner, pleaded guilty to co-conspiracy. T...
In Audit
May 1st, 2014
Use the latest OIG work plan to amp up your compliance plan and audit efforts. By Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO The U.S. Department of Health & Human Services Office of Inspector General (OIG) has released its annual work plan, outlining the new and ongoing hot spots for healthcare fraud and abuse ...
Feb 3rd, 2014
President Obama signed into law on Dec. 26, 2013 the Pathway for SGR [Sustainable Growth Rate] Reform Act of 2013 (H.J. Res. 59), narrowly preventing a scheduled Medicare payment reduction for physicians and other practitioners from taking effect on Jan. 1, 2014. The new law extends several provisions of the Middle Class Tax Relief and Job ...
Sep 1st, 2013
Coding/Billing: Facility Emergency situations call for unique coding of non-physician provider services. By Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC Ambulance codes and guidelines are uniquely applicable to non-physician providers. To make coding these services even more of a challenge, procedure codes relevant to emergency medical service (EMS) providers aren’t found in the CPT® codebook. ...