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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, 7% were from claims submitted by physicians. Read full article.
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Wednesday, 04 August 2010 |
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On July 23, 2010, the Centers for Medicare and Medicaid Services (CMS) published the 2011 Proposed Rule for home health and hospice in the Federal Register. These updates included new requirements for face-to-face encounters with physicians or non-physician practitioners (NPPs) for certification of home health patients and recertification of hospice patients. Read full article.
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Friday, 09 July 2010 |
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Medicare Contractors, Carriers including Wisconsin Physician Services (WPS), and Medicare Administrative Contractors (MACs) have begun mailing letters to physicians and non-physician practitioners (NPPs) reminding them that they must enroll in the Medicare Provider Enrollment, Chain and Ownership System (PECOS) to be allowed to order and refer services and supplies for Medicare beneficiaries. Even if the physician or NPP does not bill Medicare directly, in order for ordered or referred services to be paid by Medicare the physician or NPP must have an enrollment record in PECOS. Read full article.
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Monday, 01 March 2010 |
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As we reported in Physician Practice Bulletin 2009-07, published on December 18, 2009, on October 5, 2009, the Centers for Medicare and Medicaid Services (CMS) expanded claim editing to include verification that the ordering/referring physician on a claim is eligible to order/refer under the Medicare program and is enrolled in Medicare. Phase 2 of this process has been further delayed until January 3, 2011. The description of the edits follows: Read full article.
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Saturday, 21 November 2009 |
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On October 1, 2009, the Office of Inspector General (OIG) released its yearly Work Plan of initiatives for federal fiscal year 2010 which began on October 1, 2009. Areas of particular interest to Physician Practices are:
1) Physician Billing for Medicare Hospice Beneficiaries: The OIG will review the extent of Part B billing for physician services provided to Medicare hospice beneficiaries. They wish to ensure that services that are covered under the Medicare hospice benefit and included in the hospice payment are not being reimbursed separately by Part B.
Read full article.
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