On Wednesday, April 9, 2014, the Centers for Medicare & Medicaid Services made a historic release of the most detailed data that it ever has on procedures billed and payments received by each individual physician. Historically, the AMA has been opposed to such a release, as it was seen as a potential for privacy violations […]
CMS Releases Detailed, Individual Provider Data Read More »
Novitas (Medicare Administrative Contractor) has sought to provide additional clarification for those providers seeking participation in clinical trials and applications for Investigational Device Exemption (IDE), Humanitarian Use Device (HUD) and/or Post-Approval and 510K Extension Studies for Carotid Artery Stenting (CAS). The Medicare A/B Reference Manual, Chapter 7 (available here: https://www.novitas-solutions.com/refman/chapter-7.html) has been revised. While there are
Earlier this year, the Department of Health and Human Services announced its proposed rule to implement the Affordable Care Act provision that Medicaid reimburse primary care providers at the same rate as Medicare. On November 1, 2012, CMS issued a final rule to implement this increased payment for calendar years 2013 and 2014. Effective January
CMS Final Rule: Increased Medicaid Payment Rates for Primary Care Read More »
July 19, 2012 Healthcare Data Management, Inc. extends its warmest congratulations to Jaclyn Sorbo on her recent CPC-A accomplishment. Ms. Sorbo has been an integral part of the HDM medical billing team for over three years. On Wednesday, July 18, 2012, Ms. Sorbo received official confirmation from the American Academy of Professional Coders (AAPC) that
June 1, 2012 On May 19, 2012, the Society for Maternal Fetal Medicine (SMFM) issued a new white paper on how to correctly bill for services rendered by nurse practitioners. The white paper discusses options for direct billing, incident-to billing, and shared/split billing. To access the article, members can log into the SMFM website. For
The Society for Maternal Fetal Medicine’s Coding Committee Issues New White Paper Read More »
May 29, 2012 According to Fiserv’s 2011 Consumer Billing and Payment Trends, online bill payments now account for 50 percent of all bill payment volume in the United States, while checks account for 23 percent. If you haven’t done so already, now is the time to implement your online payment solution! In fact, the American
Top Strategies for Collecting Patient Balances: From the Front Desk to Online Bill-Pay Read More »
May 17, 2012 Maryland has a unique online forum for healthcare providers to file complaints with the Attorney General’s Health Education and Advocacy Unit and the Maryland Insurance Administrator. On April 30, 2012, the Maryland State Medical Society (MedChi) and Maryland Attorney General Gansler joined together in announcing a new website, “Insurance Watch,” where providers
Resource for Maryland Physicians & Medical Billing Companies Read More »
May 23, 2012 June 30, 2012 is the deadline for physicians to report on at least 10 electronic scripts in order to avoid Medicare’s e-prescribing program penalty. If a physician does not successfully report the production of 10 electronic scripts between January 1, 2012 – June 30, 2012, Medicare will apply a 1.5% payment reduction
May 17, 2012 Effective May 14, 2012, CMS has updated its enrollment process for Medicare providers. Providers and suppliers can now submit their enrollment applications 30 days sooner. CMS-855 enrollment applications and Internet-based PECOS applications may now be submitted 60 days prior to the effective date. This new policy does NOT apply to the following
Newsflash for Providers Considering Medicare Enrollment Read More »
May 16, 2012 On May 9, 2012, a bipartisan bill was introduced to the U.S. House of Representatives that would permanently repeal the Sustainable Growth Rate (SGR) formula. The SGR formula was adopted by Congress in 1997 with the intention of preventing Medicare spending on physicians from exceeding the overall growth of the economy. Every
