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Medicare/CMS
First Coast Service Options (FCSO) Repayment Letters On Medicare Audit Findings
Medicare/CMS News
Wednesday, 20 December 2017
The FCA has received confirmation from some members that they have received letters from FCSO requesting repayments on audited claims denied by Strategic Health Solutions (SHS). There has also been at least one notice of additional payments received on codes reported as under coded. There are no reports of the repayments including an extrapolation to all payments made in 2015.
 
This is VERY good news.
 
The positive is that there was no extrapolation.  Most chiropractic physicians affected will be dealing with a couple thousand of dollars at most instead of tens or hundreds of thousands of dollars.

So what should those doctors who were audited do now?

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New Medicare I.D. numbers coming
Medicare/CMS News
Friday, 16 June 2017
Medicare is taking steps to remove Social Security numbers from Medicare cards. CMS will start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019. 
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ALERT: Respond Promptly to Request for Revalidation
Medicare/CMS News
Wednesday, 17 May 2017
Medicare is beginning the revalidation process again.  If a practitioner or practice fails to respond timely to these requests they will be deactivated AND will not be able to bill Medicare or collect from the patient for services rendered while deactivated. Members are encouraged to alert their staff to look for any correspondence from Medicare or First Coast Service Options and respond urgently.  Revalidations can be time consuming and frustrating.  The financial impact could be significant, however, if not handled with urgency and importance. Continue reading for important links to help you revalidate with greater success.
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Evaluate First Coast Service Options' services in 10 minutes
Medicare/CMS News
Thursday, 11 May 2017
Letter to Medicare providers:

First Coast Service Options, your Medicare Administrative Contractor (MAC) for the traditional Medicare program, would like to request your opinion of our service by taking the MAC Satisfaction Indicator (MSI) survey. Your feedback goes directly to the Centers for Medicare & Medicaid Services and helps us understand how we can better service you. This survey should only take about 10 minutes of your time and closes May 31. 
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Medicare: New ABN form 2017
Medicare/CMS Forms & Resources
Monday, 17 April 2017

ABN Updated for Medicare: Effective as of June 21, 2017

 The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The effective date is June 21, 2017.

 

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ABN Form CMS-R-131 Renewal
Medicare/CMS Forms & Resources
Tuesday, 04 April 2017
March 2017:  The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. While there are no changes to the form itself, providers should take note of the newly incorporated expiration date on the form.  With the 2016 PRA submission, a non-substantive change has been made to the ABN. In accordance with Section 504 of the Rehabilitation Act of 1973 (Section 504), the form has been revised to include language informing beneficiaries of their rights to CMS nondiscrimination practices and how to request the ABN in an alternative format if needed.  The effective date for use of this ABN form is 6/21/2017. Read more to download the form.
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Websites Providing Medicare Information
Medicare/CMS Forms & Resources
Friday, 27 January 2017

Additional websites of interest for regular Medicare information are:

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Strategic Health Solutions Begins Audit of Medicare Chiropractic Records
Medicare/CMS News
Friday, 06 January 2017
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.
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What are the 2017 Medicare Fee Schedule Allowances for Chiropractic Services?
Medicare/CMS FAQ
Friday, 06 January 2017
The 2017 Chiropractic Fee Schedule is now available for our members.
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What Happened to PQRS in 2017?
Medicare/CMS Forms & Resources
Friday, 06 January 2017
With Medicare’s Merit-based Incentive Payment System (MIPS) beginning in 2017, many are asking about PQRS in 2017.  Although it seems clear that PQRS ends on 12/31/2016, the G-code quality reporting will continue under MIPS.
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