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Medicare/CMS
Railroad Medicare: Requirements for billing chiropractic claims
Medicare/CMS News
Friday, 18 February 2011

Palmetto (GBA) is the Medicare contractor for processing claims of beneficiaries with railroad retirement benefits.   See links below

Rules for completing and processing Chiropractic claims for Medicare Railroad follow National Medicare guidelines, as do Medicare Advantage Plans.  These rules differ from Florida regular Medicare claims.

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“Publications For Your Medicare Beneficiaries” Factsheet
Medicare/CMS Forms & Resources
Monday, 14 February 2011

From the Medicare Learning Network:
2011 - The Medicare Learning Network® (MLN) has released a new product titled “Publications For Your Medicare Beneficiaries.”  This factsheet lists a variety of beneficiary-related publications available to assist providers in responding to patients’ questions related to Medicare, all of which can be printed and provided to patients. 

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Understand and Improve Your Medicare Billing
Medicare/CMS Forms & Resources
Tuesday, 08 February 2011

First Coast Service Options, Inc. (FCSO) will provide to you, upon request, a provider billing report that can be used to identify personal billing patterns in comparison with those of your peers. By identifying a potential billing issue in one month and taking action to prevent the issue in the future, you can create a more satisfying and efficient Medicare billing process.  Your administrative costs are increased whenever bills must be rebilled, reposted and analyzed to figure out what you are doing wrong.

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Is Your Medicare Enrollment Information Current?
Medicare/CMS Forms & Resources
Monday, 07 February 2011

Health care providers who find themselves or their practices not listed in the Physician Compare directory on medicare.gov may need to update their enrollment information in PECOS (Provider Enrollment Chain and Ownership System).   This can be done by submitting the appropriate paper form or using Internet based PECOS.

If health care professionals have not sent in a Medicare application to report any changes to their Medicare enrollment information since November 2003, they may not have enrollment records in PECOS.  These individuals will need to submit an initial Medicare enrollment application.

 

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Medicare Remittance Advice - Available Electronically
Medicare/CMS News
Monday, 07 February 2011

Consider the benefits of using less paper. Medicare providers who bill electronically can now sign up to receive their remittance advice electronically, as well. 

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Medicare Advantage Appeals
Medicare/CMS Forms & Resources
Monday, 31 January 2011

While Medicare Advantage (also known as Part C) plans are NOT regulated or governed by ERISA, there are similar appeal protections.  CMS governs and monitors MA plans, and sets the policies that MA plans must follow. MA plans have contracts with CMS to provide insurance to beneficiaries and CMS pays MA plans to provide those services.   Therefore, the appeals process for MA plans is dictated by CMS. 

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Medicare Reminder: Important Information on the Timely Claims Filing Requirement
Medicare/CMS News
Tuesday, 21 December 2010
Medicare Timely Claims Filing Reduced to 12 Months.
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Comparative Billing Reports (CBR) - How you are doing compared to Florida and national statistics?
Medicare/CMS Forms & Resources
Wednesday, 24 November 2010

Many chiropractors are receiving a report from Medicare that tells them how they compare to their state and national colleagues.

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Medicare Electronic Billing Mandated Changes
Medicare/CMS News
Wednesday, 10 November 2010
There are changes coming regarding electronic billing that will eventually affect all providers serving Medicare patients. The second page of the notice explains what questions to ask your billing vendor. 
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EHR Incentive Program: Certified Health IT Product List
Medicare/CMS News
Monday, 01 November 2010
Providers must use certified Electronic Health Record (EHR) technology in order to earn incentives under the Medicare and Medicaid EHR Incentive Programs.  How can you be sure which EHR technology has been certified?
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