Medicare

October 3rd is Last Day for 1st-year Medicare EPs to Begin a 2014 Reporting Period

January 26-30, 2015

During the week of January 26 through 30, 2015, a sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The goal of end-to-end testing is to demonstrate that: 

A HIC number (HICN) is a Medicare beneficiary’s identification number. Also, remember when billing, ALWAYS use the name as it appears on the patient's Medicare card.

Both CMS and the Railroad Retirement Board (RRB) issue Medicare HIC numbers. The format of a HIC number issued by CMS is a Social Security number followed by an alpha or alphanumeric Beneficiary Identification Code (BIC).

RRB numbers issued before 1964 are six-digit numbers preceded by an alpha character.

CMS announced a settlement request to Inpatient hospitals!

ATTENTION In-Patient Hospitals

CMS has announced a settlement request to Inpatient hospitals for claims in appeal status!

Due to the unprecedented growth in claim appeals the demand continues to exceed Medicare’s available resources. CMS has made an offer in hopes of quickly reducing inpatient status claims currently pending in the appeals process. CMS is cleaning house and has made this administrative offer to Inpatient hospitals only.

In order to qualify for an EHR incentives, providers must show they are using their EHR's and demonstrate MEANINGFUL USE of their EHR's.  This means they are using their EHR's in ways that improves the affect of the quality of care to their patients and have successfully captured the data in a standard format using a certified EHR. 

ATTENTION In-Patient Hospitals

CMS has announced a settlement request to Inpatient hospitals for claims in appeal status! Due to the unprecedented growth in claim appeals the demand continues to exceed Medicare’s available resources. CMS has made an offer in hopes of quickly reducing inpatient status claims currently pending in the appeals process. CMS is cleaning house and has made this administrative offer to Inpatient hospitals only.

CMS is promoting three National ICD-10 testing Awareness Weeks.  Be sure to get involved early, as they have posted a ONE-TIME notice!  If you are not ready I suggest you get moving. 

To begin with you need to have access to ICD-10 codes, If you don't already have an account with Find-A-Code, Start there!   Find-A-Code gives you the information you need to succeed as well as all the crosswalks you need for ICD-10. 

CLICK HERE for a copy of an ABN Form in Spanish.

Medicare set a Therapy Cap limit for OT (Occupational Therapy) Services in the amt of $1920.00.   With a threshold of $3700. (Be sure to contact your local carrier to verify limits).

CMS launched a new Webcast Series: Road to 10 

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