CMS Conducts Meaningful Use Audit in California CMS has begun auditing California physicians who received payments through the federal electronic health record (EHR) incentive programs. Physicians selected for the audit have received letters from CMS contractor Figliozzi and Co., with requests for documentation to support their stage 1 meaningful use attestation. June 26, 2013 EHR, Medicare, Physician Resource EHR, meaningful use audit, meaningful use, Medicare 0 0 Comment Read More »
Medicare Claim Hold The Centers for Medicare & Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly systems release. The problem impacts claims received by the Medicare contractors (Palmetto GBA for California) on or after April 1, 2013. April 1, 2013 Medicare, Payment Medicare, Medicare claim hold 0 0 Comment Read More »
Medicare Ordering/Referring Claims Denials to Take Effect May 1 Medicare will begin denying claims on May 1, 2013, if the ordering/referring provider listed on the claim is not in the Provider Enrollment, Chain and Ownership System (PECOS), the database Medicare uses to track physicians and other providers. March 27, 2013 Medicare, Payment, Physician Resource Medicare, Medicare ordering/referring, CMS-855o, PECOS 0 0 Comment Read More »
Update on Medicare MAC Contract Protest Department of Justice to decide Medicare MAC contract protest after complaints filed in February 2013. March 15, 2013 Medicare, Payment Jurisdiction E, Medicare MAC, Palmetto GBA, Medicare, Nordian 0 0 Comment Read More »
AMA Update on Medicare Payment Rates The American Taxpayer Relief Act of 2012 was signed into law Jan. 2, 2013. The new law averts the 26.5% SGR cut for all of 2013 and the 2% sequester for the next two months. It also extends the work GPCI floor for a year. Today CMS released the attached announcement regarding updated 2013 Medicare payment amounts, claims processing, and reopening of the participation enrollment period. January 3, 2013 AMA, Medicare, News, Politics and Medicine SGR, American Taxpayer Relief Act of 2012, Fiscal Cliff, Medicare 0 0 Comment Read More »