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Thursday, 02 September 2010 |
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Last week, the Centers for Medicare and Medicaid Services (CMS) announced that the average 2011 Prescription Drug Plan (PDP) premiums will remain similar to the premiums currently charged in 2010. In addition, the new Affordable Care Act legislation will create discounts on certain brand name drugs. Read full article.
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Tuesday, 24 August 2010 |
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Effective April 1, 2011, an automated process will be implemented to reopen Group Health Plan (GHP) Medicare as Secondary Payer (MSP) claims when related MSP data is deleted or terminated after the claims were processed. When the Medicare system determines that MSP GHP data is no longer applicable, it will search claims history for dates of services within 180 days of the deletion date or termination date of the GHP. These claims will be reprocessed and paid (as applicable). Read full article.
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Tuesday, 24 August 2010 |
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In late 2009 and early 2010, legislative issues prohibited publication of the 2010 poverty guidelines before May 31, 2010. This resulted in the 2009 poverty guidelines remaining in effect. On August 3, 2010, the Department of Health and Human Services (DHHS) published rates that will be in effect for the remainder of 2010 and until publication of 2011 poverty guidelines, which is expected to occur in late January 2011. Because of this legislative delay in publishing the federal poverty levels, DHHS based the 2010 rates on the 2008 Census Bureau poverty thresholds, which resulted in no change from the 2009 poverty levels. The following are the poverty guidelines for 2010: Read full article.
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Tuesday, 24 August 2010 |
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The Office of Inspector General (OIG) recently released a report to the Centers for Medicare and Medicaid Services (CMS) summarizing the errors found by the Comprehensive Error Rate Testing (CERT) program for 2009. Of the claims reviewed by CERT that were found to have errors, 25% were from Durable Medical Equipment (DME) suppliers. Read full article.
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Tuesday, 24 August 2010 |
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As announced earlier this spring by the Centers for Medicare & Medicaid Services (CMS), there will be new banking contracts between Medicare contractors (Fiscal Intermediaries, Carriers, and Medicare Administrative Contractors) and U.S. Bank and JP Morgan Chase which was scheduled to take effect on June 1, 2010. Read full article.
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