DMEPOS Contract Suppliers Announced
DMEPOS Contract Suppliers Announced CMS has announced the contract suppliers for the Round 1 Recompete of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. A list of Round 1 Recompete contract supplier...SGR Repeal Legislation
The House Ways and Means and Senate Finance Committees have released a draft legislative proposal to eliminate the Medicare Sustainable Growth Rate (SGR) formula. The proposal would permanently repeal the SGR update mechanism, reform the fee-for-service (FFS) payment...Setup EFT For All Payers
Electronic Funds Transfer (EFT or Direct Deposit) is a quick and simple method of receiving reimbursement from payers directly into your bank account as opposed to receiving a paper check. EFT helps to reduce administrative burden of processing paper checks by...Medicare Enrollment Denial For Outstanding Overpayments
Enrollment regulations allow Medicare contractors to deny an enrollment application for a supplier, physician, or non-physician practitioner if there is an outstanding overpayment that has not been fully repaid at the time of filing the new application. The denial is...Chiropractic Clinic conversion to Integrated Health Group
We receive many inquiries from Chiropractic practices that are partnering with physicians and mid-level providers to convert their chiropractic practice to a multi-specialty medical clinic providing primary care services, walk-in medical care, chiropractic care, and...Medicare Mental Health Coverage
In March 2012, CMS published a general summary of Mental Health Coverage topics. This summary includes information that impacts Medicare provider enrollment and covered services. COVERED MENTAL HEALTH SERVICES The mental health services that may be covered under the...Misinformation on Medicare Coverage for Chiropractic Services
CMS published, through The Medicare Learning Network® (MLN), a fact sheet dispelling some myths about coverage for chiropractic services. Below is a summary of key points in the fact sheet published in October 2011. Misinformation #1: There is a 12 visit cap or limit...Retail Clinics – will they become the standard?
A recent article published by Medical Group Management Association (MGMA) discusses the growing popularity of retail clinics. Access to primary care physicians can be difficult in times of need even if you are a long established patient. Retail clinics, on the other...Bundled Payments Initiative (BPCI)
2013 begins the Bundled Payments for Care Improvement (BPCI) Initiative. The organizations participating in BPCI were announced on January 31, 2013. Under the BPCI, organizations agree to payment arrangements that include financial and performance accountability for...
