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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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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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Here We Go Again on Medicaid
Medicare/CMS News
Tuesday, 05 February 2013
The Governor released his proposed budget late last week and, once again, as it has been for virtually every year since FCA successfully lobbied to include chiropractic in Florida Medicaid, the bureaucracy and Governor are recommending it be eliminated (along with podiatry, another “optional service” per the federal law).  The Governor’s staff gave a courtesy call to the FCA (and the Florida Podiatric Association) late last week to report the position.   If you have been attuned to FCA legislative reporting over the last 20 years, you know that we have been successful each time, thus far, in having it reinstated in the legislative budgetary process.  We do not take this lightly, however.  What this means is that the FCA will need to fight this issue once again in the 2013 legislative session.   We cherish your continued support.
 
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 to Automatically Convert to 5010 Format on August 1, 2012
Medicare/CMS News
Friday, 27 July 2012

Medicare to Automatically Convert Format 4010A1 Electronic Remittance Advice (835) to X12 Version 5010 Effective August 1, 2012.

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

If you are not already receiving Medicare payments electronically, please read below.  Incoming calls indicate this has become urgent for those still receiving paper checks.

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