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Medicare/CMS
FCA Webinar Series: Medicare Enrollment and Revalidation
Medicare/CMS Forms & Resources
Wednesday, 10 April 2013
Navigating the Medicare enrollment and revalidation process is among the top concerns voiced by FCA members who call FCA for assistance. Delays are commonplace and have extended to over a year in some instances.  To assist members in reducing the delays, confusion and frustration, the FCA presents their third webinar available for members. It includes the more common and some less well known obstacles to getting the application completed correctly.  One of the advantages of the webinar is the ability to pause it along the way to take notes or even go back:  Highly recommended for anyone responsible for getting this job done.  The FCA thanks Mollie Frawley, R.N., FCA Insurance Liaison and presenter in this webinar, for this outstanding webinar and for her constant and excellent service to members each and every day.  And we acknowledge with appreciation the assistance of Dr. Sig Miller and ChiroView Presents for his role as moderator and with production.
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First Coast Service Option Medicare Denials for Missing Modifier
Medicare/CMS News
Friday, 01 February 2013

The FCA has recently learned from our members that First Coast Service Options (FCSO) has begun denying Physical Medicine modality and therapy codes due to a missing modifier. We await further official confirmation from our FCSO liaison, which will be forwarded immediately to you, our member.

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Medicare Mandates ALL Payments Sent Electronically (EFT)
Medicare/CMS News
Friday, 27 July 2012

If you are not already receiving Medicare payments by Electronic Transfer of Funds (EFT's), please read below.  

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Medicare Enrollment Online Now Accepts E-Signatures
Medicare/CMS News
Friday, 30 March 2012

For providers enrolling for the first time, updating information or re-validating, the internet based system, PECOS, now facilitates submitting electronic signatures.

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Medicare Prepayment Edits Denying Claims
Medicare/CMS News
Friday, 30 March 2012

Recently, First Coast Service Options, Inc., (FCSO) had a teleconference call with the FCA regarding changes affecting Florida Chiropractic services.  This call explained the recent questions from many members who were already receiving denials without any review of records.  FCSO confirmed that we should anticipate an increase in these front-end denials.  So, what does it mean to you and what can you do?

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Were You Sent a Request to Revalidate Your Medicare Enrollment?
Medicare/CMS News
Monday, 05 March 2012
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Major Improvements to Medicare Online Enrollment System
Medicare/CMS News
Friday, 17 February 2012

From CMS:

Over the last year, we have listened to your feedback about the Medicare online enrollment system, PECOS (“Provider Enrollment, Chain, and Ownership System”).  As a result, we’ve made upgrades in order to reduce data entry time and increase access to information.

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Preparing for the Version 5010 Upgrade: Questions to Ask Your Vendor
Medicare/CMS FAQ
Wednesday, 15 February 2012

Version 5010  refers to the revised set of HIPAA transaction standards; adopted to replace the current Version 4010/4010A standards. Every standard has been updated, from claims to eligibility to referral authorizations.

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Preparing for the January 1, 2012 Version 5010 Deadline
Medicare/CMS News
Friday, 16 December 2011

With the January 1st compliance deadline quickly approaching, CMS has come out with the following information.  This contains links to many helpful resources.

Remember that The 5010 Initiative applies to those offices that transmit protected health information (PHI).  Of course, offices that bill electronically are transmitting PHI.  The small office exemption will still apply.  At this time, those offices with fewer than 10 full time employees (FTE) are exempt from billing electronically.

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Medicare Chiropractic Services Booklet
Medicare/CMS Forms & Resources
Friday, 09 December 2011

The Medicare Learning Network (MLN) has recently released the Chiropractic Services booklet.  This will answer many of your questions related to chiropractic and Medicare.

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