cms

California chosen by CMS as one of the 12 States For Emergency Psychiatric Care Demonstration

On March 13, 2012, the federal Centers for Medicare and Medicaid Services (CMS) Center for Innovation launched the Medicaid Emergency Psychiatric Demonstration (MEPD) project in 12 states—Alabama, California, Connecticut, Illinois, Maine, Maryland, Missouri, North Carolina, Rhode Island, Washington, and West Virginia, and the District of Columbia. The three-year MEPD will enable Medicaid to pay for […]

Medicare Part B Secondary Payer Deductible Issues

Medicare Part B claims processed after Friday, April 1, 2011, for which the beneficiary has a Medicare deductible remaining and Medicare is the secondary payer, are erroneously issuing payment despite the beneficiary’s deductible not being satisfied or despite the total Medicare Allowed Amount being applied towards the deductible. The recovery of overpayments made during this […]

Palmetto Requiring Complete Information on Providers To Update Any Changes

We called in to Palmetto Provider Enrollment to follow up on an application sent in for one of our provider to change his correspondence address. We were on hold for 2 hours and when we got thru, we were told that they needed a more completed application. When we asked why do we need to […]

More Palmetto GBA’s Bureaucracy

It is now 6 weeks into the transition and Palmetto’s Medicare CMS contract transition is still causing financial strain for thousands of clinics and providers. So we thought it would be fun to track and share some of our own issues. Yes, Palmeto – you’re so special that we’ve created a whole section on our […]

Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals

If you do any Medicare billing or are interested in becoming a Medicare provider, then you must download the new 10th edition of Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals that just came out this month. The guide is very thorough and include: Introduction to the Medicare Program […]

California chosen by CMS as one of the 12 States For Emergency Psychiatric Care Demonstration

Medicare Part B Secondary Payer Deductible Issues

Palmetto Requiring Complete Information on Providers To Update Any Changes

More Palmetto GBA’s Bureaucracy

Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals

Tricare Contracting and Credentialing Change

California updates laws on protected health information

New Medicare Card – Transition begins April 1, 2018

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