by nCred | Medicare Provider Enrollment |
The following is an excerpt from the Medicare Benefits Policy Manual, Chapter 15, pertaining to Therapeutic Shoes for individuals with Diabetes. If your practice provides shoe inserts for patients, your billing department should be fully aware of all the related...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
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...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
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...
by nCred | Medicaid Provider Enrollment, Medicare Provider Enrollment |
On April 24, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would increase incentives for people to report information that leads to a recovery of funds from individuals and entities that have or are engaged in Medicare fraud...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
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...
by nCred | Healthcare Industry News, Medicare Provider Enrollment, Provider Enrollment |
The Affordable Care Act, Section 6405, requires that physicians who order items or services must be Medicare enrolled providers or Eligible Professionals. The ordering/referring rule was implemented in 2 phases. Phase 1 began October 5, 2009 to alert the billing...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
CMS announces details on implementing sequestration cuts to Medicare claims The Centers for Medicare & Medicaid Services (CMS) released the following message regarding Medicare claims and the upcoming sequestration payment cuts: Mandatory Payment Reductions in the...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
PQRS Payment Penalty Will Become Reality For Most Doctors Most providers participating in the Medicare program are facing reimbursement penalties due to lack of participation in the Physician Quality Reporting System (PQRS). More than 80 percent of participating...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare Ordering/Referring Physician Files (PECOS) Medicare has not yet implemented the automatic denial for claims submitted with an ordering or referring physician who does not have a current PECOS record. CMS is working to clean up system problems and backlogs...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Poor advice on the internet can lead to making the enrollment process even more confusing than it already is. eHow.com is a large reference site and I came across their article recently that describes “How to Get a Medicare Provider Number”. See their...
