Many doctors have been notified of a Medicare audit conducted by Strategic Health Solutions. Strategic Health Solutions has been contracted to perform and provide medical review functions of Medicare and Medicaid programs. Strategic Health is currently performing medical review of records through the project Y4P0434 for Chiropractic Services.
The FCA Help Desk has received several calls this week regarding a request for records from StrategicHealthSolutions, an audit contractor for CMS (Medicare). Please be aware of a potential request for records and do NOT ignore. The FCA Help Desk is gathering Information to assist our members in responding. If you wish to discuss this with Mollie Frawley, FCA Help Desk Coordinator, please email her at firstname.lastname@example.org with your best contact information AND your FCA member number or your Florida DC license number.
Read more for helpful steps to take if you receive an audit letter.
If you will not be attesting to or meeting Meaningful Use through the implementation of a certified Electronic Health Record during 2015, you may be eligible for a "Hardship Exemption" that would avoid that reimbursement reduction in 2017. The deadline for applying for this exemption has been moved to July 1,2016.
First Coast Service Options, the Florida Medicare Contractor for Regular/Original Medicare claims, is encouraging providers that are currently receiving paper Remittance Advices (EOB's) to sign up for Electronic Remittance Advices. We are assured that this remains voluntary, but offers the benefits of electronic technology. Read further to learn more and view the notice from First Coast.
Chiropractic documentation education, new quality-reporting incentives included in measure
Arlington, Va. - The U.S. Senate, following the earlier lead of the House, late last night passed a long-awaited "permanent fix" to the flawed Sustainable Growth Rate (SGR) formula used to determine provider reimbursement levels under the federal Medicare program. The plan would give physicians treating Medicare patients, including doctors of chiropractic (DCs), an annual payment increase of 0.5 percent for the next five years, with value-based payments starting after that time.
(From an ACA Release) Congress has adopted a 0.5 percent update to Medicare payments for three months, following a bipartisan vote of 64 to 36 in the U.S. Senate Wednesday afternoon. The president is expected to sign the legislation Friday.
(From ACA Week in Review of December 19, 2013) On Friday, Dec. 6, the Centers for Medicare and Medicaid Services (CMS) announced a one-year extension of the deadline for doctors and hospitals to meet standards for use of electronic health records (EHRs). Health care providers will have until the end of 2016 to meet stage two criteria for making meaningful use of electronic records. This pushes the stage three start date for the earliest adopters of EHRs back one year to 2017.
Throughout 2013, there have been warnings of increased audit activity in Medicare. It has now been reported to the FCA that seven chiropractic physicians in one state received a letter from the OIG requesting records from 2012.