In Billing
Mar 2nd, 2012
In the Medicare FFS Provider e-News for Feb. 22, under the Claims, Pricer and Code Updates heading, is a so-called “resolution” from the Centers for Medicare & Medicaid Services (CMS) for providers receiving the 496 edit on electronically filed claims using the new 5010 transaction standard. According to CMS, since the implementation of Version 5010 ...
In Billing
Jan 27th, 2012
Providers and suppliers have until March 31 to comply with the new Health Insurance Portability and Accountability Act (HIPAA) transaction standards for submitting claims electronically, and can even opt out and continue to submit paper-based claims if they so choose. If they want to get paid, however, they’ll have to accept the wave of the future. ...
In Billing
Jan 5th, 2012
The Centers for Medicare & Medicaid Services (CMS) announced, Jan. 5, standards effective Jan. 1, 2012  for health care electronic funds transfer (EFT) transactions. The standards, unveiled in an interim final rule with comment period, will apply to all Health Insurance Portability and Accountability Act of 1996 (HIPAA)-covered entities. The purpose of the transaction standards is ...
In Billing
Dec 15th, 2011
In a surprise move, the U.S. Department of Health & Human Services (HHS) announced Dec. 7 that, after considering public comment, policies established in the “Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions” interim final rule would be finalized as is. Eligibility, Claim Status Transactions Rule Finalized was last modified: ...
Oct 1st, 2011
Act now to keep your billing privileges and avoid disruption of reimbursement. By Delly E. Parham, AS, CPC Revalidation is the process by which the Centers for Medicare & Medicaid Services (CMS) requires a provider to certify her accuracy or her existing enrollment information with Medicare. Complying with revalidation requests within the specified time is ...