RAC Statement of Work (SOW, updated 9/01/2011)

On , in Archives, by AQ-IQ LLC

Statement of Work (SOW) for Recovery Audit Contractor (RAC) A new version of the RAC Final Statement of Work has been posted from CMS. While the pages are not dated, the title indicates an update from September, 2011. This document contains 57 pages and is in .pdf format. Download the file here Other information from […]

$700 Million In Grants From The Affordable Care Act Will Help Build And Expand Health Centers, Create Jobs

On , in Industry News, by AQ-IQ LLC

From the HHS News Release: The U.S. Department of Health and Human Services (HHS) today announced the availability of approximately $700 million to help build, expand and improve community health centers across the U.S. to provide needed care to low-income Americans. The funds, authorized by the Affordable Care Act, will support renovation and construction projects, […]

Medicare Fraud Strike Force Charges 91 Individuals For Approximately $295 Million In False Billing

On , in Industry News, by AQ-IQ LLC

From the HHS News Release: A nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in charges against 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $295 million in false billing. As part of a coordinated action, 70 individuals were […]

2011 ELECTRONIC PRESCRIBING (ERX) INCENTIVE PROGRAM FINAL RULE

On , in Industry News, by AQ-IQ LLC

From the CMS Fact Sheet: In addition to establishing the requirements for successful reporting of the electronic prescribing measure for the 2011 eRx incentive, the CY 2011 MPFS Final Rule also establishes the program requirements for purposes of avoiding the 2012 payment adjustment. Changes to the Medicare eRx Incentive Program for Calendar Year 2011 Since […]

HHS Announces $11.9 Million To Implement Health Information Technology In Rural Areas

On , in Industry News, by AQ-IQ LLC

From the HHS News Release: Rural health networks across the nation will receive more than $11.9 million to support their adoption of Health Information Technology (HIT) and certified Electronic Health Records (EHR). The funding announced by HHS Secretary Kathleen Sebelius will also help these rural health networks’ participating eligible providers qualify for Medicare and Medicaid […]

RAC Point of Contact

On , in Documents, by AQ-IQ LLC

Visit this page at CMS.gov for updates and additional details. Effective immediately, the point of contact (POC) for all questions or concerns related to New Posting Notifications is Alpheus Parkes. Please feel free to contact me by phone (410-786-0282) or e-mail (alpheus.parkes@cms.hhs.gov.). Thank you. Section 302 of the Tax Relief and Health Care Act of […]

Bundled Payments For Care Improvement Initiative

On , in Industry News, by AQ-IQ LLC

From the CMS Fact Sheet: CMS is working in partnership with providers to develop models of bundling payments through the Bundled Payments initiative. On August 23, 2011, CMS invited providers to apply to help test and develop four different models of bundling payments. Through the Bundled Payments initiative, providers have great flexibility in selecting conditions […]

Bundled Payments For Care Improvement Initiative

From the CMS Fact Sheet: CMS is working in partnership with providers to develop models of bundling payments through the Bundled Payments initiative. On August 23, 2011, CMS invited providers to apply to help test and develop four different models of bundling payments. Through the Bundled Payments initiative, providers have great flexibility in selecting conditions […]

Medicare Expands Competitive Bidding Program

On , in Industry News, by AQ-IQ LLC

From the CMS Press Release: Program To Purchase Durable Medical Equipment Beginning Second Phase CMS announced the next steps for a major expansion of a competitive bidding program that helps lower costs for quality durable medical equipment, prosthetics, orthotics, and supplies. The competitive bidding program uses competitions between suppliers to set new, lower payment rates […]