Websites Providing Medicare Information
Additional websites of interest for regular Medicare information are:
PQRS ended in 2017. Now MIPS. Are you eligible?
Medicare’s Merit-based Incentive Payment System (MIPS) began in 2017 and PQRS ended on 12/31/2016. Can you participate in MIPS?
CMS Releases Video on Improving Chiropractic Documentation in Medicare
January 1, 2016 is the first phase of the educational and training programs to be released by CMS. The Provider Compliance Group (PCG) at the centers for Medicare and Medicaid Services (CMS) developed an educational tool in the form of a public video, titled "Improving the Documentation of Chiropractic Services."
ICD-10 for Medicare
Attached are two Local Coverage Determinations (LCDs) for Medicare. They contain the "codes" to establish medical necessity for claims (bills) to First Coast, depending on dates of service.
Medicare PQRS reporting: Verifying for affect on 2016 reimbursements
Verifying whether Medicare thinks you reported PQRS measures in 2014 that affect 2016 reimbursements
If you believe you successfully reported your 2014 PQRS measures to Medicare, how can you be sure? Read on for more information and a link to the Medicare announcement.
ACA Responds on New Medicare Legislation and Meaning of PIMA Provisions
On Thursday, May 7, the American Chiropractic Association (ACA) released a Government Relations update on the new Medicare Legislation recently passed by Congress. In "PIMA Provisions in New Medicare Legislation: What Does it Mean for Chiropractic?" the ACA stated:
ICD-10 Resources
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:
April 1st Deadline: New CMS 1500 Uniform Billing Form & Instructions
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:
Medicare Billing Instructions and Manual with Annotations
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:
FCA members receive discount for McClelland PQRS webinar
FCA members are eligible for a discount on the upcoming December 18 webinar on PQRS, presented by Susan McClelland and sponsored by ChiroHealth USA. Join Ms. McClelland, a leading expert on Medicare and chiropractic, for a one-hour webinar explaining the 2014 PQRS and how to participate successfully in the coming year. For more information and to register, log in as a member on fcachiro.org and view the webinar details posted for your convenience.