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Medicare/CMS
Medicare Enrollment Problems?
Medicare/CMS News
Friday, 16 October 2009

Are you having trouble with Medicare Enrollment?

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DOCTORS!†Be Sure Your NPI Is Up-to-Date.
Medicare/CMS Forms & Resources
Wednesday, 05 August 2009

Did an academic medical institution or university obtain your NPI for you? Has your individual or business information changed? Is your NPPES record up to date? You are supposed to report changes within 30 days.

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Beware of Scam Targeting Physician Offices
Medicare/CMS News
Friday, 19 June 2009
(from a CMS Notice dated June 18, 2009) - The Centers for Medicare & Medicaid Services (CMS) has become aware of a scam where perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (MAC).  The fax instructs physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent a gap in Medicare payments.  The fax may have the CMS logo and/or the contractor logo to enhance the appearance of authenticity.
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Medicare Advantage Private Fee For Service Plans: Itís what you DONíT know that can hurt you.
Medicare/CMS Laws & Rules
Tuesday, 02 June 2009

               Frequently we get calls from members who have treated a Medicare beneficiary, submitted the bill and received anything but what would normally have been expected in reimbursement. To follow are some of the more common issues and then the facts to consider before accepting a patient that has a Medicare Advantage Private Fee For Service (MA PFFS) Plan, sometimes known as a Medicare replacement plan.
               Frequent complaints to the FCA insurance/legal office include:

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Medicare Enrollment is REQUIRED If Treating Medicare Beneficiaries
Medicare/CMS Laws & Rules
Tuesday, 02 June 2009

               From time to time we get calls from members who do not want to enroll in Medicare and only treat

their patients on a cash basis. These are very dangerous waters.

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Stricter Medicare Enrollment Process effective April 1, 2009
Medicare/CMS News
Tuesday, 24 March 2009

Beginning April 1, 2009, Medicare is implementing stricter enrollment policies.

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When NOT to Show Patient Paid Amounts on Medicare Claims
Medicare/CMS News
Thursday, 29 January 2009
(excerpted from CMS IOM Pub 100-04, Ch. 1, sec. 30.3.1.1 (2), 30.3.3.B (2), Ch 26, Sec 10.4

http://www.floridamedicare.com/Part_B/Billing_and_Coverage/140555.asp)

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Medicare's 2009 OIG Work Plan Released
Medicare/CMS News
Monday, 26 January 2009
Medicare’s 2009 Office of the Inspector General’s Work Plan has been released. 

The full report can be found at http://www.oig.hhs.gov/publications/docs/workplan/2009/WorkPlanFY2009.pdf.

Following are portions significant to physicians, especially chiropractors.  These broad measures will look at the appropriate use of the AT and GA modifiers and the adequacy of documentation to substantiate the necessity of care, including billed excluded services.
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NPI User and Maintenance Tips
Medicare/CMS News
Tuesday, 16 December 2008

Following is information from the NPPES (National Plan and Provider Enumeration System) on keeping your NPI number safe and updated.

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Medicare's 2009 Office of Inspector Generalís Work Plan has been released.
Medicare/CMS News
Monday, 08 December 2008
Portions significant to physicians, especially chiropractors, will be posted on the FCA website. These broad measures will look at the appropriate use of AT and GA modifiers and the adequacy of documentation to substantiate the necessity of care, including billed excluded services.
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