New IRS authority takes away your cash. If you owe back taxes, the IRS can now come calling in non-traditional ways -- in fact, it might just garnish some of your Medicare reimbursement until you've paid back what you owe. According to Centers for Medicare & Medicaid Services Transmittal 368, with an effective date of Oct. 1, businesses that owe tax money to the IRS may face levies. "CMS may reduce federal payments subject to the levy by 15 percent, or the exact amount of the tax owed if it is less than 15 percent of the payment," the transmittal indicates. "The levy is continuous until the overdue taxes are paid in full, or other arrangements are made to satisfy the debt." What this means to you: If you owe back taxes, the IRS will arrange to take 15 percent of your Medicare reimbursement until your levy has been satisfied, says attorney Michael Schaff with Wil-entz, Goldman and Spitzer in Woodbridge, N.J. This means that you will continue collecting reimbursement, but the payment will be reduced by 15 percent until you no longer owe the IRS money. Some providers will say, "I can't afford to pay these back taxes yet, I have to pay my ... staff first," suggests Randall Karpf with East Billing in East Hartford, Conn. "But the CMS transmittal confirms that the government will make that decision for you. Some [providers] may have to cut back on other expenses until their levies are paid off." Medicare's signal: If the government has garnished part of your Medicare reimbursement, you'll see the code "WU" in the PLB03-1 data field, along with Medicare's phone number in case you have questions about the adjustment. To read the complete CMS transmittal, visit the CMS Web site at
http://www.cms.hhs.gov/transmittals/downloads/R367OTN.pdf. To review the related MLN Matters article, visit the CMS Web site at
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6125.pdf. • Keep your user IDs and passwords for accessing the NPI system safe, CMS reminds providers. You should review your National Provider Identifier information in the National Plan and Provider Enumeration System for accuracy once a year, CMS recommends. You should also reset your password annually. You can access your NPPES record at
https://nppes.cms.hhs.gov/NPPES/Welcome.do or access the NPI registry at
https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do. Don't forget: Medicare is now rejecting claims that contain legacy numbers, regional home health intermediary Palmetto GBA reminds providers in an email message. But Medicare will allow you to put your own NPI in the referring provider field if you can't obtain the physician's number, CMS reiterates in Oct. 15 Transmittal No. 270 (CR 6093). • If you've been thinking about starting up an outpatient therapy business to serve patients at home, you may want [...]
