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Medicare/CMS
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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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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