A provision of the Affordable Care Act required Medicaid programs to reimburse primary care providers (PCPs) at a matching level to the Medicare rates in 2013 and 2014 for EM codes and vaccine admin codes. The federal government funded the increase at 100 percent. Based on the original legislation, federal funding for the increase […]
Maryland Medicaid: Primary Care Rate Increase Continues in 2015 Read More »
May 9, 2012 Today, May 9, 2012, the Department of Health and Human Services announced its proposed rule to implement the Affordable Care Act requirement that Medicaid reimburse primary care providers at the same as Medicare. As providers and their medical billing companies already know, Medicaid currently reimburses at a lower rate than Medicare in
Medicaid Reimbursements to Match Medicare for Primary Care Physicians Read More »
April 19, 2012 The Centers for Medicaid & Medicare (CMS) recently released an MLN Matters Article that highlights the Medicare Secondary Payer (MSP) rules. These rules delineate the circumstances in which Medicare will only make payment after another insurance carrier issues the primary payment. All too frequently, physicians and their billing companies will receive denials from Medicare
Reminder to Physicians & Billing Companies: Verify Patient’s Coordination of Benefits! Read More »
