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Medicare/CMS
ACA Responds on New Medicare Legislation and Meaning of PIMA Provisions
Medicare/CMS Forms & Resources
Thursday, 07 May 2015

On Thursday, May 7, the American Chiropractic Association (ACA) released a Government Relations update on the new Medicare Legislation recently passed by Congress.  In "PIMA Provisions in New Medicare Legislation: What Does it Mean for Chiropractic?" the ACA stated:

 

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Medicare Enrollment Online
Medicare/CMS Forms & Resources
Friday, 25 July 2014
The “Internet-based PECOS Contact Information” Fact Sheet (ICN 903766) was revised and is now available in downloadable format. 

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Billing Medicare with the New 1500 Form
Medicare/CMS Forms & Resources
Monday, 19 May 2014

Tips from the FCA Help Desk

The new 1500 Billing Form is resulting in increased denials from Medicare.  First Coast Service Options’ (FCSO) online instructions are much more informative than calls to FCSO for assistance.  Here are some of the best resource links and highlight of common errors resulting in rejections or denials. 

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April 1st Deadline: New CMS 1500 Uniform Billing Form & Instructions
Medicare/CMS Forms & Resources
Wednesday, 12 March 2014
CMS and insurers started receiving and processing paper claims on the revised 1500 claim form (Version 02/12) on January 6, 2014. One of the most significant changes is item number 21. According to CPT, in the upper, right area of the field, two dotted lines were added to create a one-byte space to report an indicator that identifies which version of the diagnosis code set is being reported. A "9" indicates the diagnosis codes are from the ICD-9 code set and "0" is for ICD-10. The use of the indicator will be necessary during the transition to ICD-10 and when reporting services that span the Oct. 1, 2014 implementation deadline.  Here are some helpful resources:


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ICD-10 Resources
Medicare/CMS Forms & Resources
Wednesday, 19 February 2014

Although the October 1, 2014 deadline has been postponed until 2015, understanding ICD-10 is coming.  Here are some important points and helpful links to extensive resources that will help you prepare for your conversion to ICD-10:

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New CMS 1500 Uniform Billing Form Instructions
Medicare/CMS Forms & Resources
Thursday, 23 January 2014
CMS and insurers started receiving and processing paper claims on the revised 1500 claim form (Version 02/12) on January 6, 2014. One of the most significant changes is item number 21. 
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Medicare Billing Instructions and Manual with Annotations
Medicare/CMS Forms & Resources
Friday, 18 October 2013

As a service to our members having difficulties billing Medicare claims, we are providing a link to the official Medicare Billing Instructions and an annotated version that includes tips learned from members sharing their experiences.  Examples of new information and lessons learned include:

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ACA Reports: New 1500 Claim Form Receives Final Approval
Medicare/CMS News
Friday, 28 June 2013

              (From the ACA “Week In Review” of 06/27/2013) On June 17 , the National Uniform Claim Committee (NUCC) announced  final approval of the Version 02/12 1500 Claim Form by the Office of Management and Budget. NUCC began revisions of the 1500 claim form in 2009 in order to accommodate reporting needs for ICD-10 and Version 5010. 

 

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Members Achieve Success with Medicare Enrollment, Thanks to FCA Webinar
Medicare/CMS News
Tuesday, 04 June 2013
 The FCA is receiving reports of members completing their Medicare enrollment successfully and more quickly when they follow the steps outlined in the FCA webinar, “Medicare Enrollment and Validation.” (see link below)  
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FCSO Recommends Online Resource for Comparing Stats to Other DC's in the State and Nation
Medicare/CMS Forms & Resources
Thursday, 02 May 2013

Some of our members have received a Comparative Billing Report (CBR) from Medicare and others can access their own statistics upon request.  In order to understand the significance of the statistics, an online webinar is available that explains what the numbers reflect.  Requesting a CBR is not connected with and does not precipitate a probe, audit or other adverse action by Medicare.  It is a tool to help chiropractors self evaluate their billing activities as it compares to all Florida chiropractors and all chiropractors nationwide within Medicare.

 

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