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Medicare & CMS News
If you can’t find the information you are looking for or need help with a question, contact the FCA Insurance and Legal Liaison Office.

3-month Medicare payment update approved for Jan. 1
By the American Chiropractic Association   
Friday, 20 December 2013
(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.
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Meaningful Use Deadline Pushed Back One Year
By the American Chiropractic Association   
Friday, 20 December 2013
(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.
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First reports received: OIG Medicare audit activity has begun
By FCA   
Wednesday, 11 September 2013
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.

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Florida Medicaid Health Care Alert August 2013
By The FCA   
Monday, 12 August 2013

Provider Type(s): ALL

Provider Training: Florida Medicaid Provider General Handbook,

Chapter 5: Medicaid Abuse and Fraud

The Bureau of Medicaid Services is offering training on the Florida Medicaid Provider General Handbook, Chapter 5: Medicaid Abuse and Fraud.  The training session will be conducted via webinar on Thursday, August 15, 2013, at 3:00 p.m.  By attending this training participants will increase their knowledge about Medicaid provider’s responsibilities regarding claims submission and prevention of fraud and abuse of the Medicaid program.
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ACA Reports: New 1500 Claim Form Receives Final Approval
By ACAtoday.org   
Friday, 28 June 2013

              (From the ACA “Week In Review” of 06/27/2013) On June 17 , the National Uniform Claim Committee (NUCC) announced  final approval of the Version 02/12 1500 Claim Form by the Office of Management and Budget. NUCC began revisions of the 1500 claim form in 2009 in order to accommodate reporting needs for ICD-10 and Version 5010. 

 

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Members Achieve Success with Medicare Enrollment, Thanks to FCA Webinar
By The FCA   
Tuesday, 04 June 2013
 The FCA is receiving reports of members completing their Medicare enrollment successfully and more quickly when they follow the steps outlined in the FCA webinar, “Medicare Enrollment and Validation.” (see link below)  
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Florida Medicaid Issues Its Provider Alerts Messages for May
By FCA Insurance & Legal Department   
Thursday, 23 May 2013
The Medicaid Division of the Florida Agency for Health Care Administration (AHCA) has issued its “Provider Alerts Message” for this month.  The message highlights upcoming July 1 changes in access to some services used by providers, including Recipient Eligibility Verification, Remittance Advices and Online Provider Enrollment.   
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Here We Go Again on Medicaid
By The FCA   
Tuesday, 05 February 2013
The Governor released his proposed budget late last week and, once again, as it has been for virtually every year since FCA successfully lobbied to include chiropractic in Florida Medicaid, the bureaucracy and Governor are recommending it be eliminated (along with podiatry, another “optional service” per the federal law).  The Governor’s staff gave a courtesy call to the FCA (and the Florida Podiatric Association) late last week to report the position.   If you have been attuned to FCA legislative reporting over the last 20 years, you know that we have been successful each time, thus far, in having it reinstated in the legislative budgetary process.  We do not take this lightly, however.  What this means is that the FCA will need to fight this issue once again in the 2013 legislative session.   We cherish your continued support.
 
First Coast Service Option Medicare Denials for Missing Modifier
By The FCA   
Friday, 01 February 2013

The FCA has recently learned from our members that First Coast Service Options (FCSO) has begun denying Physical Medicine modality and therapy codes due to a missing modifier. We await further official confirmation from our FCSO liaison, which will be forwarded immediately to you, our member.

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Medicare to Automatically Convert to 5010 Format on August 1, 2012
By CMS   
Friday, 27 July 2012

Medicare to Automatically Convert Format 4010A1 Electronic Remittance Advice (835) to X12 Version 5010 Effective August 1, 2012.

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