In Billing
Mar 19th, 2015
The Advanced Beneficiary Notice of Noncoverage (ABN) ABN is a written notice that a physician, provider, or supplier gives to a Medicare beneficiary before items or services are furnished when the provider believes that Medicare will not pay for some or all of the items or services. You can download the current version of the ...
In CMS
Apr 15th, 2011
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) published in the Federal Register (vol. 76, No. 67) April 7 a notice regarding accountable care organizations (ACOs) with comment period. Together, these federal agencies are seeking public comment on the proposal for waivers of certain fraud and abuse laws to ...
Mar 11th, 2011
The Departments of Health and Human Services (HHS) and the Treasury proposed a new rule, March 10, outlining the steps states can take to receive a State Innovation Waiver under the Patient Protection and Affordable Care Act (Affordable Care Act). The Affordable Care Act gives states the flexibility to receive a State Innovation Waiver beginning in 2017. President Obama ...
In Billing
Feb 11th, 2011
Nearly one year after President Barack Obama signed health care reform legislation into law, the Centers for Medicare & Medicaid Services (CMS) is ready to begin the daunting task of reprocessing claims. This reprocessing of Medicare fee-for-service (FFS) claims is necessary due to the retroactive effective dates of select provisions in the Patient Protection and Affordable ...
In Billing
Jul 2nd, 2010
After President Barack Obama signed legislation June 25 granting a 2.2 percent update to physicians’ Medicare payments, the Office of Inspector General (OIG) the same day waived a Medicare regulation that would require providers to bill patients for additional coinsurance relative to the rate increase, which is retroactive to June 1. Physicians May Waive Coinsurance During ...