Medicare Compliance & Reimbursement

INDUSTRY NOTES:

CMS Scraps Timeliness Advice From Recent CMS-855 Transmittal

Plus: Watch out for modifier misuse before it lands you in hot water. When it comes to Medicare enrollment, CMS certainly likes keeping providers on their toes. Our article 3 Mistakes Could Derail Your Medicare Enrollment offered snippets from CMS transmittal 292, dated June 12. In the transmittal, CMS listed over a dozen mistakes that providers might make that would cause their carrier to immediately return their enrollment application -- including submitting your CMS-855 enrollment form too early. But this week, CMS changed course, re-releasing the transmittal as a blank document other than a headline indicating that the change request "is being rescinded and will be reissued at a later date." Practices continue to keep their fingers crossed that the scheduled revision to the transmittal includes fewer impediments to Medicare enrollment and more tips on how to keep enrollment moving quickly -- but that remains to be seen. • Modifier misuse allegations might [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.