February, 2009 - Make Your Revenue Smarter - Page 4

CMS Medicare Claims Processing Manual

On , in Documents, by AQ-IQ LLC

Links to all Chapters and Crosswalks. The Internet-only Manuals (IOMs) are a replica of the Agency’s official record copy. They are CMS’ program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the […]

Kaiser Report Highlights Recent Budget News in Two States

Kaisernetwork.org – Feb. 6, 2009. Summaries of recent news articles about the state budgets of Pennsylvania and Connecticut appear in this article.  Click title to read more… Connecticut: Gov. Jodi Rell (R) on Wednesday proposed a two-year budget that calls for increased premiums and copayments for HUSKY beneficiaries, the Connecticut Post reports. HUSKY is the […]

Georgia would injure itself if it cut Medicaid spending – Atlanta Journal Constitution

Atlanta Journal Constitution – Feb. 5, 2009. The other method for reducing Medicaid expenditures is to cut reimbursement to providers. In this case fewer providers treat Medicaid patients or they pass … Georgia would injure itself if it cut Medicaid spending Medicare Audits ADVANCE for Physician AssistantsPhysicians Would Take Payment Hit Under Public Health Insurance […]

Businessman sentenced for Medicare fraud – Shelby County Reporter

Shelby County Reporter, AL – Feb 4, 2009. From January 2002 to December 2006, King and his wife caused the facilities to submit cost reports containing false information to Medicare fiscal … Businessman sentenced for Medicare fraud Birmingham federal judge orders former Shelby County businessman … al.comall 2 news articles

FTC finds price-fixing at physician IPAs, suggests legal alternatives

AMA News – Feb. 4, 2009. Experts warn of antitrust scrutiny but say the settlements signal the FTC’s support of arrangements that can benefit patient care. Read Full Article

Easing into technology: Alternatives to a full EMR

AMA News – Feb. 4, 2009. Even if a full-fledged system is financially out of reach for your practice, there are ways to automate. Read Full Article

Doctors win ICD-10 coding reprieve; compliance now due by 2013

AMA – Feb. 4, 2009. Physicians will have an additional two years to learn the next generation of diagnostic codes, thanks to a final Medicare regulation released Jan. 15, one of several key rules that the Bush administration sent out the door in its last days. Read Full Article

HHS Inspector General Finds Insurers Overcharged Beneficiaries, Taxpayers by Billions for Medicare Part D

kaisernetwork.org – Feb. 4, 2009. Private health insurers that operate plans under the Medicare prescription drug benefit have overcharged beneficiaries and the program by several billion dollars since the program began in 2006, but CMS remains unaware of the total impact of the practice because of a failure to perform required audits, according to a […]

Senate Republicans, Democrats Seek Changes To Health Care, Other Provisions in Economic Stimulus Package

kaisernetwork.org – Feb. 4, 2009. The almost $900 billion economic stimulus package the Senate will begin to debate this week “faces a treacherous path,” as both Republicans and Democrats seek to change some provisions related to health care and other areas, the San Francisco Chronicle reports (Coile, San Francisco Chronicle, 2/2). According to the New […]