In CMS
Feb 25th, 2011
Patient Protection and Affordable Care Act (PPACA) of 2010 provisions mandate new requirements regarding face-to-face encounters for certifications applicable to the home health program. The Centers for Medicare & Medicaid Services (CMS) recently updated the Home Heath Services chapter in the Medicare Benefit Policy Manual to implement these new conditions of payment. New Requirements for Home ...
In Billing
Feb 11th, 2011
At least one Medicare administrative contractor (MAC) has reportedly denied annual wellness visit (AWV) claims in error. The Patient Protection and Affordable Care Act of 2010 (PPACA) provides for the implementation of Medicare AWVs. Full Medicare Part B coverage and payment of the AWV went into effect Jan. 1. Oops! MAC Denies Annual Wellness Visit ...
In CMS
Jan 28th, 2011
Medicare beneficiaries who receive home health services face hefty copays in the near future if Congress takes up a recent recommendation from its own advisory committee. A transcript prepared by Medicare Payment Advisory Commission (MedPAC) staff recommends cost sharing to resolve regional variations in spending and use among Medicare services, particularly among post-acute services, identified in...
In Billing
Jan 14th, 2011
An amendment issued Jan. 10 by the Centers for Medicare & Medicaid Services (CMS) rescinds the addition and definition of “voluntary advance care planning,” as a specified element of the annual wellness visit (AWV). CMS Rescinds Coverage for Key Element in AWV was last modified: July 5th, 2011 by admin aapc...
In Audit
Jan 3rd, 2011
The Centers for Medicare & Medicaid Services (CMS) has rescinded its previous announcement that, beginning Jan. 3, 2011, claims for certain ordered/referred Part B items and services will not be paid if the ordering/referring provider on the claim does not have an enrollment record in the Medicare Provider Enrollment, Chain and Ownership System (PECOS). The ...