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New Deadline (Sigh) Set for Medicare Claim Denial If Ordering/Referring Providers Not in PECOS

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...

CMS Never Sleeps! Version 5010, ICD-10, an Education Call, Twitter and YouTube

by Mary Pat Whaley | Aug 18, 2010 | Medicare & Reimbursement, Social Media

I am fortunate to be serving on the North Carolina MGMA Medicare Committee this year.  When we met yesterday, the members were asked why we wanted to be on the committee.  I said I couldn’t believe any practice manager wouldn’t want to be on the Medicare...

CMS Releases Record Retention Guidelines

by Mary Pat Whaley | Aug 10, 2010 | Electronic Medical Records, Medicare & Reimbursement

A updated post on record retention with a simple record retention schedule can be found here. State laws generally govern how long medical records are to be retained. However, the Health Insurance Portability and Accountability Act (HIPAA) of 1996  administrative...

Independent Diagnostic Testing Facilities (IDTFs) Can Expect Quarterly Letters From Medicare A/B MACs About January 2012 Accreditation Requirement

by Mary Pat Whaley | Jul 8, 2010 | Compliance, Headlines, Medicare & Reimbursement

For more information on the Medicare accreditation requirement for entities billing the technical component for advanced diagnostic imaging (CT, MRI, PET/Nuclear Medicine) effective January 1, 2012, read my post here....

CMS Offers Surprise Limited Opportunity for Physicians To Participate With Medicare

by Mary Pat Whaley | Jun 29, 2010 | Medicare & Reimbursement

Providers have the opportunity to participate with Medicare once annually.  This period called “Open Enrollment” is usually from mid-November to the end of the calendar year.  Providers who may have declined to participate with Medicare for the 2010...
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