In recent announcements and materials, the Centers for Medicare & Medicaid Services (CMS) incorrectly included chiropractors in the list of physician and practitioner types that may order and refer items or services to Medicare beneficiaries. In accordance with Section 1877(a)(1) and (5)(A), and Section 1861(r)(5) of the Social Security Act, and 42 CFR 410.21(b)(1) [...]
Medicare announced yesterday, January 11th, that they will be continuing to delay the initiation of the ordering/referring provider edit. Originally they had announced that they would initiate an edit that would deny any claims with referring or ordering providers who were not entered into the PECOS system. The PECOS system, or Provider Enrollment, Chain, and [...]
All Medicare beneficiaries will be subject to the new deductibles and co-payments, as outlined below. Medicare Part B covers physician services as well as qualifying out-patient hospital care, durable medical equipment, and certain home health services, among other services. Following are all the new Medicare figures for 2011: Basic Part B premium: $115.40/month Part B [...]
The original deadline set by CMS for all ordering and referring providers to enroll in the Provider Enrollment Chain and Ownership System (PECOS) was set for July 6, 2010. However, in a news release dated June 30th, CMS announced that they will not make the changes that will automatically reject claims based on ordering or [...]
Choosing the right software for your office can be a difficult one considering the extensive number of vendors offering applications. Just because a specific software application is popular among chiropractors, doesn't necessary mean it's the best for your office. Keep in mind that when it comes to Chiropractic billing software, they are not all created [...]
The revised Medicare Appeals Process brochure (January 2010), which provides an overview of the Medicare Part B administrative appeals process available to providers, physicians and other suppliers who provide services and supplies to Medicare beneficiaries, as well as details on where to obtain more information about this appeals process, is now available in downloadable format [...]