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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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3-month Medicare payment update approved for Jan. 1
Medicare/CMS News
Friday, 20 December 2013
(From an ACA Release) Congress has adopted a 0.5 percent update to Medicare payments for three months, following a bipartisan vote of 64 to 36 in the U.S. Senate Wednesday afternoon. The president is expected to sign the legislation Friday.
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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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