You may be subject to an on-going Medicare audit and not realize it. If you fail to respond to a medical records request letter from “CERT DC” within the specified time period of 30 days, your claims under review will be denied and may result in fraud referral. Be prepared. Promptly review all mail received from Medicare, CMS, First Coast Service Options or especially CERT DC. Go back through mail beginning in August for any missed letters.
To assist health care providers in protecting, completing and submitting a Medicare enrollment application via Internet-based PECOS, CMS is providing the following enrollment reminders and tips.
As was reported in the June 10 issue of The Week In Review, on May 28, the House of Representatives passed HR 4213 which stops the scheduled 21% Medicare fee decrease from being implemented. The bill also calls for a 2.2% fee increase in 2010 and a 1% fee increase for 2011. This week, the Senate will continue to deliberate the House bill. A final vote on this legislation is expected to come this week. In anticipation of this vote, the Centers for Medicare and Medicaid services has reported that they will continue to hold claims throughThursday June 17th. If Congress has not taken final action by Friday June 18th, claims will be paid with the 21% fee decrease applied.
Please contact your Senators regarding the Medicare fee schedule and urge them to quickly address this important issue. Please visit the ACA Legislative Action Center to create an e-mail message using the template we've created for your convenience. If you have any questions, please contact gr@acatoday.org
(From the ACA Government Relations Update of 05/28/2010) A 21% Medicare fee decrease is scheduled to go into effect on June 1, 2010. While Congress has been working towards the development of a long term solution to problems with the Medicare fee schedule, no final Congressional action has yet been taken.
(Reprinted from the latest CMS Provider Bulletin dated April 1, 2010) On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which amended the time period for filing Medicare fee-for-service (FFS) claims as one of many provisions aimed at curbing fraud, waste, and abuse in the Medicare program.
* Deactivation is possible for failing to respond timely to Mailed Notice. * On line enrollment (PECOS) will be down 3/19-4/15/2010 * Practitioner signature required on each Medical Record entry.
