EHR Incentive Audits and What to Expect

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Are you prepared for an EHR Incentive audit?  (The following is information broadcast from CMS for general release.) Overview An eligible professional (EP), eligible hospital, or critical access hospital (CAH) attesting to receive an incentive payment for either the Medicare or Medicaid Electronic Health Record (EHR) Incentive Program may be subject to an audit. The Centers for Medicare & Medicaid Continue reading EHR Incentive Audits and What to Expect

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

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

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CMS Releases Step-by-Step Implementation Guides for ICD-10

ICD-10

CMS (Centers for Medicare & Medicaid Services) has released step-by-step Implementation Guides for ICD-10. These resources are for providers and payers looking for help with their ICD-10 implementation and are available on the CMS website in PDF format, just follow the links at the bottom of this post. The ICD-10 Implementation Guides provide a complete overview of the importance of Continue reading CMS Releases Step-by-Step Implementation Guides for ICD-10

The Sequestration’s Mandatory Medicare Payment Reduction is Here

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