Medicare Application Fee for CY 2019
CMS announced the application fee for calendar year (CY) 2019 will be $586 for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children’s Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or...
Maryland Medicaid Provider Enrollment Portal
Provider Revalidation and Enrollment Portal (ePREP) Maryland Medicaid’s new electronic Provider Revalidation and Enrollment Portal (ePREP) is live! All providers who bill the medicaid program for services are now required to enroll with the new portal. ePREP is...
Negative Impact of Medicare Administrative Contractor Changes in 2018
Medicare Administrative Contractor Changes in 2018 In 2018, the Medicare Administrative Contractors (MAC’s) for TN, GA, And AL changed from CAHABA to Palmetto. The change has had a dramatic impact on the turnaround time of Medicare provider enrollment...Michigan Medicaid Enrollment
Effective Jan. 1, 2018, all providers who serve Michigan Medicaid beneficiaries, including providers participating in a Managed Care Organization’s (MCO) provider network, are required to be screened and enrolled in the Michigan Medicaid program. The purpose of this...
CMS Improves Functionality With NPPES Updates
Updates to NPPES CMS has launched an updated version of the National Plan and Provider Enumeration System (NPPES). The new unified login for NPPES makes it easier for users to manage type 1 and type 2 NPI records, increases security, provides new surrogacy...Medicare Removes Social Security Numbers from Cards
New Medicare cards offer greater protection to more than 57.7 million Americans New cards will no longer contain Social Security numbers, to combat fraud and illegal use The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative...
CMS Renames Locum Tenens Arrangements
Changes to the Payment Policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements) The Centers for Medicare & Medicaid Services (CMS) is amending the terminology it uses to describe...
CMS Updated Manual Guidelines for Change of Ownership
Updated Manual Guidelines for Electronic Funds Transfer (EFT) Payments and Change of Ownership (CHOW) The Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 9953 (effective May 15, 2017), for the purpose of making revisions to Chapter 15,...Corporate Practice of Medicine in California
The state of California has specific guidelines for medical practice organizations forming business entities. Essentially the state requires medical corporations to be formed as a Professional Corporation (PC), the make-up of the corporation a must be at least 51%...
