Tag Archives: Medicare

Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency

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Make sure your going to get paid.   Effective May 1, 2013, physicians who refer or order services for Medicare Part B, DME, and Part A Home Health Agency, will be required to be enrolled in Medicare. Claims submitted on or after May 1st for a physician who referred or ordered services for a Medicare patient but who is not enrolled in Continue reading Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency→

The Sequestration’s Mandatory Medicare Payment Reduction is Here

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Cutting Money

Due to (insert your favorite villain here)’s failure to act, the sequester is now in effect. Medicare FFS payments for dates-of-service or dates-of-discharge on or after April 1st will now incur a 2 percent reduction in Medicare payments and reimbursements. Claims payment adjustments will be applied to all claims AFTER deducting amounts for coinsurance, deductibles, and any Medicare Secondary Payment Continue reading The Sequestration’s Mandatory Medicare Payment Reduction is Here→

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Physician Quality Reporting System or PQRS

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  Physician Quality Reporting System (PQRS) formerly known as the Physician Quality Reporting Initiative   The Physician Quality Reporting System or PQRS is a “voluntary” reporting program mandated by Federal legislation that uses a combination of incentive payments and payment adjustments to promote reporting of quality measures information by eligible professionals. The program provides an incentive payment to eligible professionals and Continue reading Physician Quality Reporting System or PQRS→

15 things you should know before shopping for an EHR

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1.     Alerts (required for meaningful use) Alerts generated by an EHR system currently fall into two categories: prescription and clinical-decision support. Prescription alerts warn providers of possible drug interactions and possible allergic reactions. Clinical-decision alerts remind providers about screenings, tests, labs or other treatments and options that might be necessary or indicated. They also alert providers to available results for Continue reading 15 things you should know before shopping for an EHR→