In Billing
Jun 28th, 2018
Effective July 2, CMS-1500 hard copy claims should not list the same ICD-10-CM diagnosis code twice within item 21. Medicare Administrative Contractors (MACs) and Durable Medical Equipment (DME) MACs have been instructed to return these claims as unprocessable. Here’s Why Medicare is implementing systems changes to ensure that all Part B 837 coordination of benefits/Medicare ...
In Billing
Jan 18th, 2018
Palmetto GBA is preparing to become the A/B Medicare administrative contractor (MAC) for Jurisdiction J (JJ), which includes the states of Alabama, Georgia, and Tennessee — and so should you if you submit Medicare claims for healthcare providers who practice in those states. Part A providers will transition from Cahaba GBA effective Jan. 29, 2018, and Part ...
In Audit
Oct 29th, 2010
Beginning in 2011, new legislation requires the Centers for Medicare & Medicaid Services (CMS) to do away with its age-old fast food methodology of paying claims first and asking questions second—otherwise known as “pay and chase”—and adopt billing software designed with predictive modeling capabilities. Medicare Asks Questions First, Pays Later was last modified: July 5th, 2011 by ...
In Billing
Jul 23rd, 2010
The Centers for Medicare & Medicaid Services (CMS) has merged the magnetic resonance angiography (MRA) national coverage determination (NCD) into the magnetic resonance imaging (MRI) NCD. The effect of this change maintains existing national coverage for both MRI and MRA, and eliminates the non-coverage language for MRA. Effective for claims with service dates on or ...
In CMS
Jan 29th, 2010
On April 19, some providers currently serviced by Wisconsin Physician Service (WPS) will transition to jurisdiction 1 (J1), administered by Part A and Part B Medicare Administrative Contractor (A/B MAC) Palmetto GBA. Palmetto Prepares for WPS Transition was last modified: July 5th, 2011 by admin aapc...