California Tests New Model for Medicare-Medicaid Enrollees
On March 27, 2013, the Department of Health and Human Services announced that the State of California will partner with the Centers for Medicare & Medicaid Services (CMS) to test …
U.S. to Raise Medicare Advantage Payment Rate
In a reversal that followed intense lobbying from the health insurance industry and members of Congress, the U.S. government said it will increase the payment rate for health insurers that …
Triangle Area DME Providers – Time to Ask for MPP Support
ATTENTION TRIANGLE AREA PROVIDERS – Let’s attend and ask Congressman Price to support the Market Pricing Program – legislation soon to be introduced by Dr. Tom Price (R-GA) The message below is …
100 Percent Funding for New Medicaid Beneficiaries Finalized
Health and Human Services (HHS) Secretary Kathleen Sebelius today announced a final rule with a request for comments that provides, effective January 1, 2014, the federal government will pay 100 …
Medical Review FAQs for Power Mobility and Glucose
Medical Review FAQs – Spring 2013 Q1. Our PMD Prior Authorization (PAR) request was non-affirmed because our documentation did not include a financial attestation statement. When a portion of the …
ICD-10 Deadline Confirmed By CMS Administrator
As the dust from HIMSS13 settles, CMS would like to thank everyone who stopped by our booth to say hello and discuss the ICD-10 transition and the future of eHealth …
Are You Prepared for the May 1st PECOS Edits?
After a brief announcement and retraction, CMS settled on May 1, 2013, as the day that phase two of the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) will go …
Competitive Bid Rates Reduced by 2%
On March 8th CMS notified Durable Medical Equipment (DME) Providers that reimbursement rates for all claims submitted will be reduced by 2% beginning April 1st, 2013. These latest cuts are …