by nCred | Healthcare Industry News |
BCBS of Georgia attempted to push a contract amendment on all of its participating providers in November. However, the GA Insurance Commissioner forced BCBS to halt implementation of the amendment and require the insurance company to submit any amendments to the...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
Medicare has published changes to the premiums and deductibles for 2015. See the latest MLN article for more information. MLN article MM8982
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
Beginning June 1, 2015, Medicare will require all physicians and eligible providers who order Durable Medical Equipment, Prosthetics, and Supplies, or certify home health care to be enrolled with Medicare. The statute also permits the Secretary to extend these...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
CMS recently updated the process for retrieving forgotten user IDs and passwords for the Identity & Access Management (I&A) system. I&A controls access to the Medicare enrollment system PECOS, the National Plan and Provider Enumeration System (NPPES) and...
by nCred | Healthcare Industry News |
CMS published a revision to Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs). Except for services that are paid at 100 percent of costs, Medicare currently pays FQHCs 80 percent of their AIR. MACs reconcile costs and...
by nCred | Healthcare Industry News |
CMS releases proposed 2015 Medicare physician fee schedule The Centers for Medicare & Medicaid Services (CMS) released the proposed Medicare physician fee schedule (PFS) rule for 2015. CMS will accept public comments on the rule until Sept. 2, 2014 and intends to...
by nCred | Healthcare Industry News |
The Centers for Medicare & Medicaid Services (CMS) is establishing a Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) with specific payment codes that FQHCs must use in order to ensure payment. implementation begins for cost reporting...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2014 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current...
by nCred | Healthcare Industry News |
On March 19, 2014, HHS published an interim final rule on third party payments of Qualified Health Plan Premiums. The rule specifically requires insurance plan issuers to accept third party payments from Ryan White HIV / AIDS Program. The rule, however, continues to...
by nCred | Healthcare Industry News |
The House of Representatives passed by voice vote H.R. 4302, which would temporarily delay the 24% cut to Medicare physician payments resulting from the sustainable growth rate (SGR) formula for one year. Many physicians organizations, such as the American Medical...
