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FR&R Articles and News
FR&R News
Arlen Lasinsky discusses preventing association fraud
2009 Sloan Award for Business Excellence in Workplace Flexibility
Betsy Anderson Elected to IHCA Board of Directors
FR&R Named a Winner of the 2008 Alfred P. Sloan Award for Business Excellence
FR&R Recipient of Associate Member of the Year Award for IHCA
Accounting Articles
Choosing the Right Certified Public Accountant For Your Business
Health Care Articles
Have You Tested Your NPI?
Tax Articles
Year End Business Tax Planning - A Couple of Things to Consider Before the End of the Year
Choosing the Appropriate Form for Running Your Business
Message in This Bottle is: You Can't Win
If brevity is the soul of wit, then Congress, Treasury have none of it
FR&R Health Care Bulletins
Health Care
TEMPORARY EXTENSION ACT OF 2010
URGENT UPDATE ON PART B PHYSICIAN FEE SCHEDULE PAYMENTS
OIG REPORT ON ENTERAL NUTRIENT THERAPY PRICING IN SNFS DURING NON-PART A STAYS
REMINDER: REGISTER FOR THE NEW CMS PS&R ONLINE SYSTEM
BUSINESS ASSOCIATE CONTRACTS: UPDATES ARE REQUIRED
URGENT: ILLINOIS SKILLED NURSING FACILITIES AND SUPPORTIVE LIVING FACILITIES!
MEDICAID SPOUSAL IMPOVERISHMENT STANDARDS FOR 2010
HIPAA REMINDERS
DITCH THE KX... FOR NOW
MEDICARE PART B THERAPY FEE SCHEDULE SERVICE DATES 1/1/10 – 2/28/10 UPDATED RATES
TEMPORARY DELAY IN FEE SCHEDULE RATE CHANGE
CMS RELEASES ADDITIONAL DOCUMENTATION REQUEST LIMITS FOR 2010
TIME TO UPDATE YOUR BUSINESS ASSOCIATE CONTRACTS
UPDATED PART B SCHEDULE FOR OUTPATIENT THERAPY SERVICES
PAPER NOTICES AND BULLETINS FROM HFS FOR ILLINOIS MEDICAID PROVIDERS
THERAPY CAP LIMITS FOR 2010
MEDICARE PART D OPEN ENROLLMENT NOW UNDERWAY
OIG 2010 WORK PLAN RELEASED FOR HEALTHCARE
FINAL RULINGS ON RAC RECOUPMENT PROCESS FOR OVERPAYMENT
FTC DELAYS RED FLAGS RULE ONCE AGAIN
CMS WEB-BASED PS&R SYSTEM REQUIRES IMMEDIATE ACTION FOR ALL PROVIDERS
HIPAA 5010 TRANSACTIONS COMING BEFORE WE KNOW IT
MEDICARE PREMIUM, COINSURANCE, AND DEDUCTIBLE UPDATE FOR 2010
MEDICARE APPEALS THRESHOLD AMOUNTS FOR 2010
CORRECTION TO FR&R’s BULLETIN HC 2009-37 PROVIDER REVALIDATION
123S ON THE MEDICAID INTEGRITY PROGRAM
NPPES – NEW SECURITY PROCEDURES
CHANGES TO SUBMISSION OF MEDICARE SECONDARY PAYER CLAIMS
UPDATE TO POINT OF ORIGIN CODES ON THE UB-04
NEW HIPAA GUIDANCE FOR SECURITY BREACHES
NPPES - SECURE, MAINTAIN, AND UPDATE YOUR INFORMATION
RECOVERY AUDIT CONTRACTORS PROCESS AND RECOUPMENT OVERVIEW
MEDICARE PRESCRIPTION DRUG PLAN PREMIUMS TO INCREASE SLIGHTLY
REVALIDATION PROCESS FOR SKILLED NURSING FACILITIES, PHYSICIANS, AND ORGANIZATIONAL SUPPLIERS
MEDICARE BILLING DEADLINE
CGI POSTS SAMPLE DEMAND LETTER FOR AUTOMATED REVIEWS
HIPAA VERSION 5010 TRANSACTION STANDARDS ON THE HORIZON
CHANGES COMING TO HIPAA BUSINESS ASSOCIATE REQUIREMENTS
DMEPOS ACCREDITATION DEADLINE AND VOLUNTARY TERMINATION
FTC FURTHER DELAYS RED FLAGS RULE
CMS WEB-BASED PS&R SYSTEM
MEDICARE CREDIT BALANCE REPORT ADDRESS AND FAX NUMBER CHANGES
SCAM ALERT
THE ALPHABET SOUP OF COMPLIANCE
FTC DELAYS ENFORCEMENT OF THE RED FLAGS RULE
RECOVERY AUDIT CONTRACTOR UPDATES
ARE YOU READY FOR THE RED FLAGS RULE?
INTERNET-BASED MEDICARE ENROLLMENT NOW AVAILABLE
EFFECTIVE DATE OF MEDICARE BILLING PRIVILEGES FOR PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS
ICD-10 COMPLIANCE DATE NOT AFFECTED BY REGULATORY REVIEW
CHANGES COMING DOWN THE PIKE FOR “60% RULE”
NEW REQUIREMENTS FOR CONTACTING MEDICARE CUSTOMER SERVICES
UPDATED CMS-855 MEDICARE ENROLLMENT APPLICATION FORMS
EFFECTS OF THE STIMULUS PLAN ON HEALTHCARE PROVIDERS AND THEIR EMPLOYEES
WISCONSIN PHYSICIANS SERVICE DIRECT DATA ENTRY CHANGE
MEDICARE CREDIT BALANCE REPORT SUBMISSION ADDRESSES
DELAY IN RECENT MAC AWARDS
FISS SYSTEM PRODUCING EXCESSIVE ADRS
HIPPA CHANGES INCLUDED IN STIMULUS BILL
RAC PROTEST RESOLVED
USER LOG IN CHANGES: PERSONAL ID AND PASSWORD
EFFECTIVE DATE OF REVISED ADVANCE BENEFICIARY NOTICE OF NON-COVERAGE IS APPROACHING
CHANGES IN PAYMENT FOR OXYGEN EQUIPMENT
HIPAA REMINDERS
DMEPOS SUPPLIERS REQUIRED TO OBTAIN SURETY BOND
CMS INTRODUCES THE NEW INTERNET-BASED PROVIDER ENROLLMENT, CHAIN AND OWNERSHIP SYSTEM (PECOS)
NEW FAMILY HISTORY HEALTH TOOL & PERSONAL HEALTH RECORD CHOICE PILOT
USE OF LASER-GENERATED UB-04 PAPER CLAIMS FOR ILLINOIS MEDICAID
COMPLIANCE DATE FOR ICD-10 PUSHED BACK TO 2013
CMS ANNOUNCES FINAL MAC SELECTIONS
MEDICAID SPOUSAL IMPOVERISHMENT STANDARDS FOR 2009
CMS CLARIFIES DMEPOS ACCREDITATION FOR CERTAIN ELIGIBLE PROFESSIONALS
INTERNET-BASED MEDICARE ENROLLMENT IS ON ITS WAY
MedPAC RECOMMENDS ZERO INCREASE IN 2010 FOR SNFs AND HHAs
CHANGES TO MEDICARE FOR OXYGEN AND OXYGEN EQUIPMENT
UPDATED PART B FEE SCHEDULE FOR OUTPATIENT THERAPY SERVICES
YEAR-END UPDATES
RECOVERY AUDIT CONTRACTORS – WHERE DO WE STAND?
CMS ISSUES FINAL RULE ON 2009 PHYSICIAN FEE SCHEDULE
CMS ANNOUNCES FIRST PERMANENT RECOVERY AUDIT CONTRACTORS
OIG 2009 WORK PLAN RELEASED FOR HEALTH CARE FACILITIES
TIME TO REVIEW YOUR MEDICARE PART D PLANSOPEN ENROLLMENT STARTS NOVEMBER 15, 2008
CMS CLARIFIES TIME FRAME FOR NON-RANDOM PREPAYMENT COMPLEX MEDICAL REVIEW
MEDICARE APPEALS: THRESHOLD AMOUNTS FOR 2009
MEDICARE ADVANTAGE AND PRESCRIPTION DRUG PLAN MARKETING RULE RELEASED
UPDATE TO MEDICARE REIMBURSEMENT RATES FOR VACCINATIONS
CMS EXTENDS COVERAGE OF PT/INR MONITORING BY PATIENTS IN THEIR HOME
REMINDER: CHANGES TO “NOTICE OF MEDICARE PROVIDER NON-COVERAGE” FORMS
NEW HIPAA PRIVACY RULE GUIDANCE DOCUMENTS FOR PROVIDERS AND CONSUMERS
WISCONSIN PHYSICIANS SERVICE (WPS) MEDICARE SYSTEM ACCESS CHANGE
ICD-10 BECOMING A REALITY
ILLINOIS BLUE CROSS BLUE SHIELD ADMINASTAR FEDERAL INC. FISS ACCESS UPDATE II
IRS ISSUES INSTRUCTIONS FOR NEW FORM 990
MEDICARE PREMIUM, COINSURANCE, AND DEDUCTIBLE UPDATE FOR 2009
MEDICARE RENEWS EXPEDITED REVIEW FORMS
ILLINOIS BLUE CROSS BLUE SHIELD ADMINASTAR FEDERAL INC. FISS ACCESS UPDATE
ARE YOU READY FOR RACS?
LOWER THAN EXPECTED MEDICARE PART D COSTS IN 2009
CMS MAY REDUCE YOUR MEDICARE PAYMENT IF YOU OWE TAXES TO THE IRS
MEDICARE PART B FEE SCHEDULE
CMS COMPUTER SERVICES PROVIDER COMMUNITY UPDATE
OIG POLICY FOR WAIVING RETROACTIVE COST-SHARING (CO-PAYS AND DEDUCTIBLES) AMOUNTS RELATED TO MIPPA
DMEPOS ACCREDITATION REQUIREMENT DEADLINES
Good News For All Providers
IRS CHANGES MILEAGE RATES MID-YEAR
MID-YEAR CHANGES TO FEE SCHEDULE AND THERAPY
THERAPY PERSONNEL
THERAPY CAP EXCEPTIONS PROCESS SET TO END
THE MACS ARE COMING
NPI AND SECONDARY PROVIDERS
NPPES FILE IRS MATCH
Home Health Care
ISSUES RELATED TO THE 2009 FEDERAL FORM 1099-MISC ISSUED BY PALMETTO GBA
OIG 2010 WORK PLAN RELEASED FOR HOME HEALTH AGENCIES
2010 HOME HEALTH PROSPECTIVE PAYMENT SYSTEM RATES
REVALIDATION PROCESS FOR HOME HEALTH AGENCIES
UPDATE TO MEDICARE REIMBURSEMENT RATES FOR VACCINATIONS
HOME HEALTH PROPOSED RULE FOR CALENDAR YEAR 2010
HOME HEALTH AGENCY COST REPORT AWARENESS
LEGAL ACTION IN HOME CARE HOW NOT TO GET REFERRALS
MEDPAC MAKES ANNUAL RECOMMENDATIONS
NEW SEVEN YEAR RETENTION REQUIREMENT FOR REFERRING PHYSICIAN DOCUMENTATION
IS YOUR NRS BILLING READY FOR YOUR COST REPORT?
OASIS-C VERSION 10 TESTING HAS BEEN COMPLETED
CMS RESCINDS RECOUPMENT OF PRIOR PAYMENTS FROM OASIS ITEM M0175
2009 HOME HEALTH PROSPECTIVE PAYMENT SYSTEM RATES
CMS TO ISSUE CLAIMS ADJUSTMENTS TO CORRECT PPS CLAIMS PROCESSING ERRORS
OIG 2009 WORK PLAN RELEASED FOR HOME HEALTH AGENCIES
NEW DIRECT DATA ENTRY (DDE) IDS ARE COMING
CLAIMS WILL RETURN TO PROVIDER (RTP) BEGINNING OCTOBER 1, 2008
OASIS SUBMISSION BY DIAL-UP CONNECTION ENDS JULY 31, 2008
Hospice
EFFECTIVE DATE OF REPORTING ATTENDING AND HOSPICE PHYSICIAN CERTIFYING THE TERMINAL ILLNESS
OIG 2010 WORK PLAN RELEASED FOR HOSPICES
HOSPICE RATES FOR FY 2010
MAJOR CHANGES FINALIZED WITH HOSPICE RULE FOR FY10
PHASE III OF HOSPICE COLLECTION
CHANGES TO THE REMITTANCE ADVICE NOTICE AND MEDICARE SUMMARY NOTICE
HOSPICE CAP CALCULATIONS LETTERS AND ADMINISTRATIVE APPEALS
MEDPAC MAKES ANNUAL RECOMMENDATIONS TO CONGRESS
NEW SEVEN YEAR RETENTION REQUIREMENT FOR REFERRING PHYSICIAN DOCUMENTATION
OIG 2009 WORK PLAN RELEASED FOR HOSPICES
HOSPICE MEDICARE RATES FOR FY 2009 FINAL CORRECTION
NEW DIRECT DATA ENTRY (DDE) IDS ARE COMING
“EXTRAORDINARY CIRCUMSTANCE” EXEMPTION EXTENDED UNTIL SEPTEMBER 30, 2010
HOSPICE MEDICARE RATES FOR FY 2008 – CORRECTED
HOSPICE MEDICARE PAYMENTS FOR FY 2009
HOSPICE DISCHARGE FOR CAUSE
Long Term Care
ARE YOUR RESIDENTS IN THE BEST MEDICARE PART D PLAN?
DIRECT DATA ENTRY USER ACCESS RECERTIFICATION
MEDICARE ADVANTAGE PLANS UPDATE
NEW REIMBURSEMENT SYSTEM FOR VENTILATOR-DEPENDENT RESIDENTS FOR ILLINOIS MEDICAID
HOSPITAL OBSERVATION DAYS AND THE SNF 3-DAY QUALIFYING STAY
OIG 2010 WORK PLAN RELEASED FOR SKILLED NURSING FACILITIES
ISSUES WITH THE CASE MIX INDEX MAXIMIZATION PROCESS
INFECTION CONTROL F TAG 441
UPDATE TO MEDICARE REIMBURSEMENT RATES FOR VACCINATIONS
OIG INVESTIGATES AMBULANCE SERVICES FOR SNF PART A RESIDENTS
CONFLICT BETWEEN NO-PAY AND PART B OUTPATIENT CLAIMS
UPDATE: NURSING HOME VALUE-BASED PURCHASING DEMONSTRATION
OIG STUDY OF DURABLE MEDICAL EQUIPMENT PROVIDED FOR NON-PART A STAYS
QUALITY OF LIFE F-TAGS — HAS YOUR FACILITY IMPLEMENTED ALL THE REVISIONS?
NEW INFECTION CONTROL REQUIREMENTS
CMS ISSUES PRIORITY ORDER FOR IMPLEMENTATION OF THE QIS
SNF PPS RULE FOR FISCAL YEAR 2010 BRINGS PAYMENT DECREASES AND MORE CHANGES STILL TO COME
CHANGES IN ILLINOIS MINIMUM STANDARDS REGARDING INCIDENTS AND ACCIDENTS
OCCURRENCE SPAN CODE 74 AND 210 BILLS
$250 SOCIAL SECURITY PAYMENTS
OXYGEN BILLING IN SNFS FOR ILLINOIS MEDICAID RESIDENTS
PROPOSED SNF PPS PAYMENT RATES RELEASED
NURSING HOME VALUE-BASED PURCHASING DEMONSTRATION GETTING UNDERWAY
REMINDER ON BENEFITS EXHAUST CLAIMS
SKILLED THERAPY CLARIFICATION ORDERS: IS IT BUSY WORK OR A REQUIREMENT?
UNDERSTANDING THE FIVE-STAR QUALITY RATING SYSTEM
ILLINOIS ATTORNEY GENERAL LONG TERM CARE QUESTIONNAIRE
WAIT! WHICH NOTICE DO I GIVE TO MY SNF RESIDENTS?
ENDING A SNF BENEFIT PERIOD
CAN WE CHARGE THE RESIDENT PRIVATELY FOR THAT?
MEDPAC MAKES ANNUAL RECOMMENDATIONS
THIS TIME IT IS REAL: MDS 3.0 TO BE DELAYED ONE YEAR
RAI MANUAL UPDATES ISSUED
DON’T BE ON THE SPOT WITH THE REVISED GUIDANCE OF F309 QUALITY OF CARE
DON'T YOU JUST LOVE THAT RUMOR MILL?
CHANGES IN NGS LOW UTILIZATION COST REPORT FILING REQUIREMENTS
MEDICAL SPOUSAL IMPOVERISHMENT STANDARDS FOR 2009
WHAT IS AN ALLOWABLE MEDICARE BAD DEBT AND WHAT IS NEEDED TO SUPPORT IT
LAUNCHING OF THE FIVE-STAR RATING SYSTEM
MDS 3.0 “ITEM SET” REVISED DRAFT AVAILABLE
BILLING AT THE MEDICARE DEFAULT RATE: THERE ARE EXCEPTIONS – SNF FINAL RULE FOR FY 2009
OIG 2009 WORK PLAN RELEASED FOR SKILLED NURSING FACILITIES
THE OIG REPORTS ON NURSING HOME DEFICIENCIES AND COMPLAINTS
ATTENTION ILLINOIS PROVIDERS: MULTIPLE NATIONAL PROVIDER IDENTIFIERS (NPIS) MAY BE NEEDED FOR HFS
CHANGES IN F 325 AND F 371
ASSESSMENT ISSUES AND CLARIFICATIONS — CMS SNF FINAL RULE FOR FY 2009
SNF MEDICARE PPS RUG PAYMENTS FOR FY 2009
STANDARDS FOR THE QUALITY IMPROVEMENT 9TH SCOPE OF WORK ANNOUNCED
ILLINOIS SNF MEDICAID RATES
FIVE-STAR RATING SYSTEM TO BE ADDED TO NURSING HOME COMPARE WEBSITE
LONG TERM CARE FACILITIES REQUIREDTO HAVE SPRINKLER SYSTEMS INSTALLED
NEW FISS IDS COMING FOR NGS-ILLINOIS PROVIDERS ONLY
EXTENSION OF EXPIRATION DATE ON EXPEDITED REVIEW FORMS
INCREASED MEDICAID FUNDING FOR NURSING HOMES
PROPOSED SNF PPS RATES FOR FY 2009 RESULT IN DECREASE IN PAYMENTS
MEDICARE BED-HOLDS
NEW INFORMATION ADDED TO NURSING HOME COMPARE WEBSITE
FIRST COME, FIRST SERVE WITH MEDICARE CLAIMS
Physician Practice
CMS DELAYS PHASE 2 OF PECOS ENROLLMENT REQUIREMENTS FOR ORDERING AND REFERRING PHYSICIANS
OIG 2010 WORK PLAN RELEASED FOR PHYSICIAN PRACTICES
UPDATE TO MEDICARE REIMBURSEMENT RATES FOR VACCINATIONS
NEW PHYSICIAN SELF-REFERRAL REGULATIONS ARE JUST AROUND THE CORNER
LEGAL ACTION IN HOME CARE HOW NOT TO GET REFERRALS
MEDPAC MAKES ANNUAL RECOMMENDATIONS TO CONGRESS
DELAY IN NPI IMPLEMENTATION FOR THE PAY-TO PROVIDER (PAYEE)
OIG 2009 WORK PLAN RELEASED FOR PHYSICIANS AND OTHER PRACTITIONERS
HHS TAKES NEW STEPS TO ACCELERATE ADOPTION OF ELECTRONIC PRESCRIBING SYSTEM
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