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Medicare physician payments 2013

by nCred | Healthcare Industry News, Medicare Provider Enrollment | 0 comments

At the last moment, Congress passed legislation to avert the drastic Medicare physician fee schedule reduction that physicians were facing for 2013.  The American Taxpayer Relief Act of 2012 includes the following provisions impacting physician reimbursement: Prevents...

Medicare Enrollment Guidelines for Order/Referring Providers

by nCred | Medicare Provider Enrollment, Provider Enrollment | 0 comments

Medicare Ordering/Referring Requirement The Affordable Care Act requires that all eligible providers be enrolled with Medicare to order/refer items to Medicare beneficiaries.  Providers who do not submit claims to Medicare must still be enrolled with the program to...

CMS PQRS for 2013

by nCred | Healthcare Industry News, Medicare Provider Enrollment | 0 comments

Medicare PQRS Guide The 2013 PQRS Measures and Implementation Guide are now available on the CMS website.  The PQRS measures guide contains information on reporting PQRS measures for 2013.  Providers who don’t meet the 2013 reporting requirements will realize a...

Medicare Provider Participation Agreement (CMS460)

by nCred | Medicare Provider Enrollment, Provider Enrollment | 0 comments

Medicare Provider Participation Decisions Due By December 31st Medicare providers have until December 31st of each year to make changes to their participation decisions.  The Participation Agreement (CMS460) is originally filed with Medicare provider enrollment...

Medicare Re-Validation Update

by nCred | Healthcare Industry News, Medicare Provider Enrollment, Provider Enrollment | 0 comments

Medicare Revalidation CMS has extended the period for provider revalidation to March 2015.  This update doesn’t affect any providers who have already received a revalidation notice.  If you have already received a revalidation notice, you have 60 days to...

Medicare Provider Payments (EFT)

by nCred | Medicare Provider Enrollment, Provider Enrollment | 0 comments

Medicare Provider Payment Method Requires Use Of EFT Existing regulations at 42 CFR 424.510(e)(1)(2) require that at the time of enrollment with the Medicare program (initial enrollment, enrollment record change, or re-validation), providers and suppliers must agree...

Medicare Provider Enrollment – Site Verification

by nCred | Medicare Provider Enrollment | 0 comments

Medicare Provider Enrollment News CMS contracts with a third party to provide site visit services as an integral part of the Medicare Provider Enrollment process.  The National Sive Visit Contractor (NSVC) will conduct site visits for all providers and suppliers...

Medicare DMEPOS Competitive Bidding Program – Round 2

by nCred | Medicare Provider Enrollment | 0 comments

Round 2 of the competitive Rebid is scheduled to go into effect in 91 Metropolitan Statistical Areas (MSAs) on July 1, 2013.  At the same time, CMS is implementing a national mail-order program for diabetic testing supplies.  When a Round of the program becomes...

CMS releases 2013 Physician Fee Schedule

by nCred | Healthcare Industry News, Medicare Provider Enrollment, Provider Enrollment | 0 comments

The 2013 Medicare fee schedule shows some dramatic changes affecting several medical specialties.  Find more information about the fee schedule here including downloading the full schedule.  In addition to fee schedule changes there are expanded privileges for...

Medicare Alert regarding address information on file

by nCred | Medicare Provider Enrollment | 0 comments

The Medicare Learning Network has issued an alert to remind all providers that practice address on file must be physical locations and not a PO Box or Lockbox address.  Claims submitted with a PO Box as the provider address won’t be crossed over and your EOMB...
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Recent Posts

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