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Medicare/CMS
Medicare ABN Form Updated: Use Mandated by January 1, 2021
Medicare/CMS Forms & Resources
Friday, 07 August 2020
CMS has approved the updated ABN form with an expiration date of 6/30/2023.  The deadline date for use of this updated form, originally mandated by August 31, 2020, has been extended to 1/1/2021 due to the pandemic. The renewed form may be implemented prior to the mandatory deadline. Read on for links to the form, instructions and important clarifications.
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2021 ICD10 Codes Available
Medicare/CMS Forms & Resources
Friday, 10 July 2020

ICD-10-CM Diagnosis Codes: FY 2021

FY 2021 ICD-10-CM diagnosis codes are now available for patient encounters that occur from October 1, 2020, through September 30, 2021.

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Medicare Beneficiaries May Suddenly Not Owe ANY Copays
Medicare/CMS News
Monday, 15 June 2020
Qualified Medicare Beneficiaries, QMBs, cannot be charged for any Copayments or Deductibles.  Who is a QMB?  A patient who is eligible for both Medicare and Medicaid.

With the Coronavirus pandemic, many Medicare Beneficiaries have recently qualified for Medicaid.  This applies whether the patient has regular or traditional Medicare, or if they have an Advantage or Medicare replacement plan.  As Medicaid eligibility can change from month to month, at any time of the month, a Medicare patient may become dually eligible between visits.
 
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Medicare 2020 Fees for Chiropractors
Medicare/CMS Forms & Resources
Friday, 10 January 2020

The 2020 Florida Medicare Fee Schedules as of 1/7/2020 are available.

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Medicare Denials 1/1/2020 for old patient I.D. numbers
Medicare/CMS News
Thursday, 14 November 2019
Effective January 1, Medicare will reject claims without the Medicare Beneficiaries current MBI number.
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New Medicare Card: Claim Reject Codes After January 1
Medicare/CMS News
Thursday, 24 October 2019

Starting January 1, 2020, you must use Medicare Beneficiary Identifiers (MBIs) when billing Medicare regardless of the date of service:

Advisory from Medicare. 

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For our members reporting QPP data in MIPS or APMs
Medicare/CMS Forms & Resources
Tuesday, 17 September 2019
Clarification has been received from the Florida Agency for Health Care Administration regarding the availability of HIE (Health Information Exchange) for chiropractic physicians who are reporting (QPP) Quality Performance Data in MIPS (Merit-based Incentive Payment System) or APMs (Advanced Alternative Payment Models)
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HIPAA and New Medicare I.D. Numbers
Medicare/CMS News
Thursday, 19 April 2018
New Medicare cards are being issued that replace social security numbers with MBI, Medicare Beneficiary Identifiers. See Medicare's alert on keeping these numbers private and secure.
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OIG's Recent Report on Chiropractic Services
Medicare/CMS News
Monday, 05 March 2018

Many chiropractors in Florida have received a copy of a recent report from the Office of Inspector General, U.S. Department of Health and Human Services that calls for better controls to prevent fraud, waste and abuse related to chiropractic services in Medicare.  This report is based on services between 2010 and 2014 and provides us two important lessons. 

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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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