CMS publishes revisions to PPS for FQHC
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...
Proposed 2015 Medicare physician fee schedule
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...
Medicare enrollment now required for Part D prescribing
Medicare Provider Enrollment Changes Last last week, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for Medicare Advantage and Medicare Part D that includes provisions directly affecting physicians. Beginning June 1, 2015, in order to...
Prospective Payment System for Federally Qualified Health Centers
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...
Medicare Background Checks
Implementation of fingerprint-based background checks for Medicare Provider Enrollment As part of the enhanced provider enrollment screening provisions of the Affordable Care Act (ACA) the Center for Medicare and Medicaid Services (CMS) is implementing...
2014 OIG Work Plan
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...
Interim Final Rule: Third Party Payments of Qualified Health Plan Premiums
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...
House Passes Another SGR Patch
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...
New Physician Credentialing – Timing is Everything
It is always a good sign when your practice recruits a new physician fresh from medical school. It brings attention to your practice, and can help you build a reputation of being a forward-thinking practice that offers the newest and best patient care practices. ...
Medicare Application Fees for 2014
CMS has published the application fee for calendar year 2014. Application Fees With the exception of physicians, non-physician practitioners, physician group practices and non-physician group practices, providers and suppliers that are (1) initially enrolling in...
Medicare Revalidation Update November 2013
On November 4, 2013, CMS issued a notice of revision to reflect the current revalidation process. Revalidation applies to all providers and suppliers who enrolled with Medicare prior to March 25, 2011. Affected providers and suppliers must revalidate their...
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...
