12
May
(Update May 18, 2009)
Medicare announced that it will allow an exception for the patient notices required in advance of the day of the procedure in certain cases. Specifically, the Centers for Medicare and Medicaid Services (CMS) said:
It is not acceptable for the ASC to provide the required notice for the first time [...]
Tags: ASC, CFC, Conditions for Coverage, Medicare, OPPS
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6
Apr
By Carla Hannibal, CMM,CPM,CIMBS
Recovery Audit Contractors (RACs) will pursue corrections of Medicare claims by auditing for overpayments and underpayments under Part A or B of the title XVIII of the Social Security Act. Health care providers will be affected as Medicare has recently contracted with RACs for 2009 and beyond. RACs will audit every United [...]
Tags: CMS, compliance, health care providers, Medicare, Medicare Advantage, NPI, overpayments, RAC, recoupment, Recovery Audit Contractors, underpayments
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7
Nov
From today’s US News & World Report:
This is the fourth year that U.S. News and the National Committee for Quality Assurance, managed care’s major accrediting and standards-setting body, have teamed up to rank healthcare plans. We release the rankings during open-enrollment season, when millions of Americans prepare to select their healthcare coverage for the next [...]
Tags: healthcare plans, Medicaid, Medicare, MGMA, National Committee for Quality Assurance, NCQA, open enrollment, U.S.News & Wold Report
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20
Sep
With the Centers for Medicare and Medicaid Services (CMS) revealing yesterday what the Medicare premiums and deductibles will be for 2009, it seems like a good time to brush up on Medicare and what choices providers have in enrolling and participating in Medicare.
Medicare is a health insurance program created in 1965 for:
people age 65 [...]
Tags: allowable, deductible, limiting charge, Medicare, Medicare Advantage, par.non-par, Part A, Part B, part C, Part D, premium
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