In Billing
Feb 5th, 2019
There is a new version of the CMS-855I Medicare Enrollment Application, which physicians and non-physician practitioners may begin using immediately. Medicare Administrative Contractors will accept the previous version of the application (7/2011) through April 30, and then require you to use the new version (12/18). What’s Changed? The Centers for Medicare & Medicaid Services (CMS) has ...
In Billing
Feb 23rd, 2018
Several new Medicare Learning Network (MLN) fact sheets offer tips on provider compliance for certain items that regularly appear on the Office of Inspector General Work Plan due to a high level of improperly paid claims. Here’s a quick synopsis. Hospital Beds and Accessories Physicians and other practitioners who write requisitions or orders for hospital beds ...
In CMS
Dec 28th, 2016
The Centers for Medicare & Medicaid Services (CMS) is creating a next generation risk adjustment model that will: (1) account for the number of individuals who had a Marketplace plan for less than 12 months; (2) better account for the risk of high-cost patients; (3) improve compensation for healthier members; and (4) use prescription drug ...
Jun 23rd, 2015
As a result of changes made by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), valid opt-out affidavits signed on or after June 16, 2015 will automatically renew every two years. Physicians and practitioners who file affidavits effective on or after June 16, 2015 who do not want their opt-out to automatically renew at the end ...
In Billing
Dec 15th, 2014
At first glance, a recent announcement by the Centers for Medicare & Medicaid Services (CMS) seems to suggest that prescribers of Medicare Part D drugs have been given a six-month reprieve from certain program requirements that were supposed to go into effect June 1, 2015. If you read the article in its entirety, however, you learn otherwise. The “Medicare ...