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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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PQRS ended in 2017. Now MIPS. Are you eligible?
Medicare/CMS Forms & Resources
Friday, 06 January 2017
Medicare’s Merit-based Incentive Payment System (MIPS) began in 2017 and PQRS ended on 12/31/2016. Can you participate in MIPS?
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Medicare Updates and Reminders: Time Sensitive
Medicare/CMS Forms & Resources
Wednesday, 19 October 2016
In addition to the September 12th change in billing First Coast, there are at least 3 other changes that are time sensitive in nature. October 1 begins the need for more specificity in coding ICD-10.  November 30th is the last day to appeal your PQRS status for 2015.  Failure to respond to re-validation requests may require re-enrolling in Medicare with no grace period for billing.  For more information, read on.
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FAQ’s and Coding Tips for Billing Medicare After the 09/12/2016 LCD Change
Medicare/CMS FAQ
Tuesday, 20 September 2016
The September 12, 2016 coding and billing changes by First Coast Service Options (FCSO) have raised several common questions listed below.  These questions are better understood with a better understanding of both the documentation AND billing underlying mandates for covered chiropractic services:
  • Does the September 12th date apply to dates of service or claims submission dates?
  • Do you have a list of common NMS codes we can use?
  • Do I have to have a NMS condition for each subluxation region billed?
  • Can I use the same NMS condition for the different subluxation regions billed? For example low back pain for lumbar, sacrum and ilia?
  • In what order must I bill the diagnoses on the bill?
  • How do I bill when the primary insurer is PIP or Workers’ Compensation and they require different codes and billing instructions than Medicare?
  • Why can I only point to ONE diagnosis code in Field 14 on the bill? When did this start?

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ALERT: Mandatory changes related to Medicare billing effective 9/12/16
Medicare/CMS Forms & Resources
Wednesday, 31 August 2016
Florida Regular Medicare Billing Information for September 12, 2016

The First Coast Local Coverage Determination (LCD) for Chiropractic Services has been updated, to be effective for dates of service on and after September 12, 2016.
 
Of immediate importance are the primary diagnosis codes which have changed for billing.     

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First Coast Publishes Implementation Date for New Chiropractic Medicare LCD
Medicare/CMS Forms & Resources
Monday, 08 August 2016
First Coast Service Options, the Florida Medicare Contractor, has published an implementation date of September 12, 2016 for the new Chiropractic LCD.
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CMS Releases Video on Improving Chiropractic Documentation in Medicare
Medicare/CMS Forms & Resources
Thursday, 07 January 2016
January 1, 2016 is the first phase of the educational and training programs to be released by CMS. The Provider Compliance Group (PCG) at the centers for Medicare and Medicaid Services (CMS) developed an educational tool in the form of a public video, titled "Improving the Documentation of Chiropractic Services." 

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PIMA Provisions in New Medicare Legislation: What Does it Mean for Chiropractic?
Medicare/CMS Laws & Rules
Friday, 02 October 2015

The American Chiropractic Association has provided resources to help you understand more about the PIMA provisions in the latest Medicare legislation and how chiropractic may be affected.  Read more for important information and links.

 

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FCSO Is Promoting Electronic Remittance Advices
Medicare/CMS News
Wednesday, 30 September 2015

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.

 

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