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Medicare/CMS
Meaningful Use Deadline Pushed Back One Year
Medicare/CMS News
Friday, 20 December 2013
(From ACA Week in Review of December 19, 2013)  On Friday, Dec. 6, the Centers for Medicare and Medicaid Services (CMS) announced a one-year extension of the deadline for doctors and hospitals to meet standards for use of electronic health records (EHRs). Health care providers will have until the end of 2016 to meet stage two criteria for making meaningful use of electronic records. This pushes the stage three start date for the earliest adopters of EHRs back one year to 2017.
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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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First reports received: OIG Medicare audit activity has begun
Medicare/CMS News
Wednesday, 11 September 2013
Throughout 2013, there have been warnings of increased audit activity in Medicare. It has now been reported to the FCA that seven chiropractic physicians in one state received a letter from the OIG requesting records from 2012.

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Florida Medicaid Health Care Alert August 2013
Medicare/CMS News
Monday, 12 August 2013

Provider Type(s): ALL

Provider Training: Florida Medicaid Provider General Handbook,

Chapter 5: Medicaid Abuse and Fraud

The Bureau of Medicaid Services is offering training on the Florida Medicaid Provider General Handbook, Chapter 5: Medicaid Abuse and Fraud.  The training session will be conducted via webinar on Thursday, August 15, 2013, at 3:00 p.m.  By attending this training participants will increase their knowledge about Medicaid provider’s responsibilities regarding claims submission and prevention of fraud and abuse of the Medicaid program.
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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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Medicaid Re-Enrollment and Other Revisions
Medicare/CMS Forms & Resources
Friday, 28 June 2013

Medicaid providers are currently being required to re-enroll, including submitting fingerprints if they have not been updated with your licensing board within the last year. Additionally the Providers’ General Handbook, Chiropractic Services Handbook and Fee Schedules have been updated.

 

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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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Florida Medicaid Issues Its Provider Alerts Messages for May
Medicare/CMS News
Thursday, 23 May 2013
The Medicaid Division of the Florida Agency for Health Care Administration (AHCA) has issued its “Provider Alerts Message” for this month.  The message highlights upcoming July 1 changes in access to some services used by providers, including Recipient Eligibility Verification, Remittance Advices and Online Provider Enrollment.   
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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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Railroad Medicare Widespread Pre-Payment Review of Chiropractic
Medicare/CMS Forms & Resources
Friday, 12 April 2013

(From ACA “Week in Review” of 04/11/2013)  In addition to the results from a May 2009 Office of Inspector General report covering inappropriate Medicare payment for chiropractic services, Palmetto GBA/Railroad Medicare has identified chiropractic services as "vulnerable" due to the high percentage of errors discovered during the post-payment review process. To resolve this vulnerability, Railroad Medicare has changed the process for reviewing claims submitted with CPT codes 98940 and 9894--along with HCPCS modifier AT. The contractor is currently requesting documentation for claims submitted with these codes. This review will be performed on a pre-payment basis.

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