by Mary Pat Whaley | Mar 3, 2011 | Medicare & Reimbursement, PECOS
The Centers for Medicare & Medicaid Services (CMS) has the continuing goal of reducing fraud, waste, and abuse through all available avenues. The Affordable Care Act requires CMS to determine the level of screening to be conducted during provider and supplier...
by Mary Pat Whaley | Feb 20, 2011 | Electronic Medical Records, Medicare & Reimbursement
Should I consider ePrescribing in 2011 if I’m not ready to install an EMR? In 2012 eligible professionals who are not successful eprescribers, based on claims submitted between January 1, 2011 ”“ June 30, 2011, may be subject to a “payment...
by Mary Pat Whaley | Feb 13, 2011 | Compliance, Medicare & Reimbursement, Physician Relations
“Publications For Your Medicare Beneficiaries” New! The Medicare Learning Network® (MLN) has released a new product titled “Publications For Your Medicare Beneficiaries.” This factsheet lists a variety of beneficiary-related publications available to assist...
by Mary Pat Whaley | Jan 30, 2011 | Medicare & Reimbursement
There are a number of different audits that are carried out by Medicare-contracted auditors. It’s important to know the differences and have a plan for responding. CERT stands for Comprehensive Error Rate Testing and CERT audits were initiated in 2000. The...
by Mary Pat Whaley | Jan 18, 2011 | Medicare & Reimbursement
Elimination of Deductible and Coinsurance for Most Preventive Services Effective January 1, 2011, the Affordable Care Act waives the Part B deductible and the 20 percent coinsurance that would otherwise apply to most preventive services. Note: I covered this in my...
by Mary Pat Whaley | Dec 22, 2010 | Medicare & Reimbursement, PECOS
NOTE April 2011: CMS recently announced that July 5, 2011 will not be the date that claim editing will begin. *********************************************************************************** If you read my post on November 29th, you already know that CMS delayed...