The process has changed for those receiving an Overpayment Notice.

Although most physicians are not affected, if you receive a notice of overpayment from Medicare, the process has changed.  Follow up letters will not be sent, but the collection process continues. 

TIP: Do not ignore or put off looking at communications from CMS, Medicare or First Coast Service Options (FCSO).

Have you received notice from Medicare, saying you must REVALIDATE?

If you are not already receiving Medicare payments electronically, you should expect First Coast Service Options, Inc. (your Medicare Administrator) to contact you to revalidate your enrollment information.  See Medicare notice below. 

Not all chiropractors will receive this report.  If you do, you are encouraged to look at it closely as it indicates your statistics are considered unusual.

On Monday, September 26, 2011, the Centers for Medicare & Medicaid Services (CMS) will release a national provider Comparative Billing Report (CBR) centered on Chiropractors who practice in the office setting. It’s a similar study equivalent to the one distributed last fall except this current study will focus on 2010 data and is being sent to 5,000 different Providers.

Palmetto (GBA) is the Medicare contractor for processing claims of beneficiaries with railroad retirement benefits.   See links below

Rules for completing and processing Chiropractic claims for Medicare Railroad follow National Medicare guidelines, as do Medicare Advantage Plans.  These rules differ from Florida regular Medicare claims.

Consider the benefits of using less paper. Medicare providers who bill electronically can now sign up to receive their remittance advice electronically, as well.