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Medicare Audits in Florida Have Arrived
Medicare/CMS News
Thursday, 08 December 2016
The FCA Help Desk has received several calls this week regarding a request for records from StrategicHealthSolutions, an audit contractor for CMS (Medicare). Please be aware of a potential request for records and do NOT ignore. The FCA Help Desk is gathering Information to assist our members in responding. If you wish to discuss this with Mollie Frawley, FCA Help Desk Coordinator, please email her at insurance@fcachiro.org with your best contact information AND your FCA member number or your Florida DC license number.
Read more for helpful steps to take if you receive an audit letter. 
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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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Changes Coming on Which Diagnoses to Bill for Florida Medicare
Medicare/CMS News
Wednesday, 03 August 2016
First Coast Service Options, the Florida Medicare Contractor, will be updating their LCD for Chiropractic Services in the near future.
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Hardship Exemptions Possible F or Medicare EHR Reimbursement Reductions
Medicare/CMS News
Thursday, 03 March 2016
If you will not be attesting to or meeting Meaningful Use through the implementation of a certified Electronic Health Record during 2015, you may be eligible for a "Hardship Exemption" that would avoid that reimbursement reduction in 2017. The deadline for applying for this exemption has been moved to July 1,2016.
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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." 

PQRS 2016 Reporting Measures for Chiropractic Physicians Available
Medicare/CMS News
Monday, 21 December 2015
The ACA has posted the 2016 PQRS measures for Chiropractic Physicians.  The codes and additional information are available through this link.
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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