CMS Adjusts HCPCS Codes
The Centers for Medicare & Medicaid Services (CMS) have announced the scheduled release of adjustments to the Healthcare Common Procedure Coding System (HCPCS) code set. The changes can be found on the …
Insurer and Michigan Hospitals Switch Reimbursement Plan
Michigan’s largest health insurer and a dozen hospitals announced Monday they are starting to carry out a cost-saving deal designed to prevent unnecessary or overused tests and procedures, an attempt …
CMS Delays PECOS Phase 2 Implementation
On Thursday April 25th, 2013 CMS Announced that due to Technical issues, implementation of the Phase 2 ordering and referring denial edits is being delayed. The edits would have checked …
Pennsylvania-Based Health Plan Engages with its Providers through an Analytics Platform
Independence Blue Cross and Abington Health have are collaborating on an initiative that could transform the reimbursement landscape of southeast Pennsylvania Earlier this spring, Abington Health, a two-hospital integrated health …
NAHC Participates in Call with CMS on Phase II PECOS Edits
The National Association for Home Care & Hospice participated in a conference call with the Centers for Medicare & Medicaid Services on April 3, 2013 to discuss Phase II of …
Court Ruling Opens Door for Providers to Seek Reimbursement for Medicare Bad Debts
Providers may be reimbursed for Medicare beneficiaries’ bad debts even after sending them to a collection agency, a U.S. District Court judge has ruled. At issue was the question of …
NV Medicare Patients Told to Find New Insurance Provider
Hundreds of Medicare recipients in Southern Nevada have been forced to change insurance carriers after their provider was liquidated amid fraud allegations. Universal Health Care Insurance Co., which had about …
NC Governor wants Medicaid Patients in Managed Care Plans
RALEIGH — Gov. Pat McCrory wants to overhaul the state’s Medicaid program by having managed care companies offer health care plans for poor children, the elderly and the disabled. McCrory said …