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- LCD
- Corporate Practice of Medicine Legislative Brief
- RAC Prepayment Reviews of Medicare Claims Are Coming
- The Latest Risk Area for Providers: CMS’ EHR Incentive Program Post-Payment Audits
- Fraud Enforcement and Recovery Act – Significant Changes in the Health Care Community
- RACs, PSCs, ZPICs, MFCUs, MICs, MRACs, OIG, DOJ, FBI, and Now. . . Patients?
- Why patients are turning less to media and friends for health information
- Clarification Concerning HIPAA 5010 and NCPDP D.0 Cutover and Impacts on Crossover Claims
- EDI Technology Support Center Temporarily Extends Support Hours
- Medicaid/CHIP Funding
- RAC Audits to be Extended to Medicaid — HHS Publishes Proposed Rules on Medicaid Recovery Audit Contractors Further Highlighting the Question, Is a Claim Ever Final? Providers Need to Understand and Take an Active Role in the Process.
- Are Whistleblower Provisions Coming to HIPAA?
- Senator Responsible for Whistleblower Laws Seeks Stronger Regulations
- HIPAA Audits Are Here – Make Sure Your Privacy Policy is Fully Compliant
- Physicians earn nearly perfect ratings from most patients
- MM7701 – Allowing Physician Assistants to Perform SNF Level of Care Certifications and Recertifications
- MM7737 – Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database
- Professional Liability Insurance
- CMS Authorizes Medicare Contractors to Accept Administrative Appeals by Facsimile and Secured Internet Transmission but Many Contractors have Yet to Implement this Change
- RACs, PSCs, ZPICs, HIPAA Auditors, State MFCUs, MICs, Medicaid RACs, HHS-OIG, DOJ, FBI, and Now. . . Patients?
- Conducting Mock Audits
- How to budget for a cloud-based EMR system
- MM7681 – Advanced Diagnostic Imaging Accreditation Enrollment Procedures (CR 7681 Fully Rescinds and Replaces CR 7177)
- Intern and Resident Information System (IRIS) Software Updates
- Scope of Practice Legislative Brief
- Points to Consider When a ZPIC Extrapolates Alleged Damages
- We’ve Moved!
- The Next “Patient” You See May be an Undercover Physician Auditing Your Practice.
- Editorial: Inside look at physicians’ embrace of tablet computers
- Reporting Inpatient Days for Version 5010 Institutional Claims
- SE1138 – Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims
- Graduate Medical Education Funding
- Region D RAC (Health Data Insights) Begins Medical Necessity Reviews
- CMS Delays RAC Prepayment Demonstration Project . . . For Now.
- The U.S. Sentencing Commission has issued proposed changes that may significantly impact compliance plans and compliance professionals.
- Older doctors a lot more tech-savvy than many think
- SE1137 – Additional HIPAA 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement National Crossover Process
- Beginner’s Guide to Medicare – Part 2
- Legislative Brief: Taxes
- Region B RAC CGI Announces that it will Begin Review of Eighteen Projects that Involve Medical Necessity
- Are Your Privacy Practices Fully Compliant? HIPAA Audits are Here
- New York Medicaid Makes Compliance Program Mandatory
- Smartphones blamed for increasing risk of health data breaches
- MS-DRG 246 Cardiovascular Procedure with Drug-Eluting Stent with MCC Documentation
- LCD
- Texas Medical Board Legislative Issues
- Look at RACs — Part III: What Should Physicians and other Medicare Providers Know about Appeals and Recoupment?
- Get Ready – RAC Prepayment Reviews of Medicare Claims Are on the Horizon
- Nurse Stands Trial for Reporting Allegedly Dirty Doctor
- Medicare opens physician claims to researchers
- MM7726 – April 2012 Quarterly Correct Coding Initiative Edits, Version 18.1
- New Password Reset Option for TrailBlazer Web Site
- Cancer Detection and Prevention
- A Look at RACs — Part II: How Should Physicians and Other Providers Respond to a RAC Audit?
- CERT Audits are Serious – Don’t Take them Lightly
- New Compliance Initiative Issued by U.S. Sentencing Commission
- Using time as currency can help practices care for the uninsured
- LCD
- Medicare Cost Report Filing Update
- Tobacco Prevention
- A Look at RACs — Part I: What Do Physicians, Home Health, Hospice, and DME Providers Need to Know?
- “A verbal contract isn’t worth the paper it is written on.”
- Practices get more time to switch to HIPAA 5010
- Workaround for Claims With POA-Exempt Diagnosis Codes Effective October 1, 2011, Editing With Reason Code 34931
- LCD
- Health Plan Prescription Drug Formularies
- Training, EMR tracking can slash risk of radiation overdoses
- Many patients taking a pass on electronic access to records
- LCD – Drugs and Biologicals, Non
- Office-based doctors warm to e-prescribing
- EMRs: Your transition from paper
- SE1201 – Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers
- Obesity Prevention
- HHS-OIG report “Recovery Audit Contractors’ Fraud Referrals.”
- Medicare Post Payment Audits and the “Average” Provider
- Doctors’ legal remedies can defeat online attacks
- LCD – Non
- Medicare Physician Fee Schedule (MPFS) and Medicare Physician Fee Schedule Database (MPFSDB)
- Patient-rating websites top Google searches for best doctors
- Residents’ desire for hospital employment poses recruiting challenge for practices
- Three Ways to Enhance EDI Assistance
- AMA hoping to stop ICD-10 use in billing
- Digital pens serve as some physicians’ bridge to EMR
- ASC X12 837 5010 Move-to-Production Procedures
- IOM calls for monitoring and probe of health IT hazards
- Medical identity theft a growing problem
- TrailBlazer Average Processing Days for CMS-855 Applications and Appeals
- Mental Health Funding
- Early EMR adopters get a break; tougher criteria delayed to 2014
- LCD
- Interpreting Errors/Edits on 277CA Reports
- Managing the uncertainty of health system reform (MGMA annual meeting)
- Counseling on alcohol helps patients and is billable
- - 3/21/2012
- Make sure the way you use an EMR doesn’t unwittingly look like fraud
- Pain management for practice breakups
- SE1202 – Health Professional Shortage Area Bonus Payment Policy Reminders
- Physicians rely on search engines to help find clinical information
- What to say when patients haggle over their bills
- LCD
- Immunization
- AMA releases medication tracking app
- Updated Naming Convention for ASC X12 277CA in GPNet Mailboxes
- Submitting Electronic Claims Versus Paper Claims
- What can a practice do when a patient harasses a staffer?
- Clinical informatics now a subspecialty
- Market booming for wireless monitoring devices
- U.K. taking American-style approach to health IT
- Editorial: Efficient claims handling: A gift that keeps on giving
- After years of big increases, practice costs drop 2.2%
- Upcoming Dates for Medicare EHR Incentive Program and Information on Payment Threshold for Eligible Professionals
- Health Information Technology
- New year, new concerns: How to set medical practice goals for 2012
- New Screening and Preventive Services
- Why small medical practices lag in EMR adoption
- Wikipedia cancer info accurate but hard to understand
- Sloppy recordkeeping can lead practices to trouble with OSHA
- The latest health care marketing tool: QR codes
- Social media increasingly used to gauge public health
- Medicaid claims audits to begin in January
- MM7557 – FISS Claims Processing Updates for Ambulance Services
- More Workers’ Comp Improvements Needed
- How technology can connect doctors and caregivers
- February 2012 TrailBlazer A/B Call Center Closures
- AMA launches online group for e-claims
- WellPoint counting on Watson to ask the right health care questions
- Physician texting provides quick communication — and an easy way to violate HIPAA
- Making part time work
- Information for Outpatient Prospective Payment System Providers Regarding the Billing of CPT Code 33249
- Silent PPOs/Unregulated Rental Networks
- Scribes can ease documentation burden — for a price
- LCD
- Provider Enrollment Process: Enrolling and Revalidation
- NLRB report raises questions about social media use at practices
- Medicaid fetches higher drug rebates than Medicare
- SNF Updates
- Nearly all U.S. doctors are now on social media
- Criminal convictions and discipline of Illinois doctors returning online
- Update to the Primary Care Incentive Payment Program for Critical Access Hospitals Paid Under Optional Method
- Editorial: Medicare e-prescribing still too rigid
- Online videos may offer most bang for medical marketing buck
- Medicare FFS Version 5010 Requirement Changes for Non-Specific Procedure Codes
- JAMA editor takes reins in a new communication age
- Emergency departments turn to texting wait times
- MM7685 – Due January 30, 2012 – Teaching Hospitals Reporting the IRS Refund of Medical Resident FICA Taxes
- Editorial: Take us along with our mobile edition
- Culturally competent practices can drive up good will — and patient traffic
- Insurance brokers’ role expected to change with health reform
- Time may be ripe to expand or build medical offices
- Group appointments can serve both patients and practices
- Rated negatively online? What’s a physician to do?
- Practices’ clear payment policies let patients know where they stand
- Here come the 20-somethings
- 5 ways to manage your online reputation
- VA sponsoring contest to expand "blue button" program
- Hardship waivers last chance to avoid Medicare e-prescribing penalty
- Lawsuit against stem cell funding dismissed
- Nearly half of office-based physicians work with NPs and PAs
- Medicare spends 50% less on Part D drugs than initially estimated
- AMA App Challenge enters final stretch
- Rebuff patient Facebook friend overtures, British Medical Assn. advises
- Illicit online pharmacies resort to hacking to gain customers
- Pace of mergers, acquisitions revs up for physician practices
- Army considers smartphones and tablets for battlefield use
- WellPoint reaches tentative accord in data breach suit
- Drugmakers must allow visitor comments on Facebook pages
- Direct Project gives doctors secure access to data exchange
- 7 things to consider when choosing mobile devices
- Editorial
- Attention Colorado Submitters: New 277CA Report May Be Received
- Medical liability reform demo may be in limbo
- Tips on getting paid for smoking cessation treatment
- January 2012 TrailBlazer eBulletin Now Available
- More Democrats join GOP against Medicare cost-control board
- Health care spending rises as confidence in ability to pay falls
- J4 LCD Updates – December 2011
- Staying in private practice offers its own rewards
- Co-pay or no co-pay? That is the confusing question
- New Process for Recovery Audit Demand Letters
- Part-time doctors shaking up small practices
- Medical liability reform closer to House passage
- MM7674 – Inpatient Rehabilitation Facility ‘No-Pay’ Billing for Medicare Advantage Patients Update
- California patients can sue if personal data are released during billing disputes
- Medicaid physician pay swept up in battle over funding and access
- MM7670 – April 2012 Claim Status Category and Claim Status Codes Update
- Funding for pediatric residencies remains in doubt
- Tactics for tight times: How to keep your practice afloat
- Updates, Changes and Reminders
- AMA house seeks repeal of OTC drug-spending rule
- Aetna sues 9 N.J. doctors for ‘unconscionable’ fees
- AMA house endorses national ban on ‘bath salts’ synthetic drug
- Feedback on open-access scheduling "by no means glowing"
- GOP doctors stand behind Medicare privatization plan
- A private place for nursing mothers: Legal requirement is easy to meet
- Insurers mishandle 1 in 5 claims, AMA finds
- Business is booming for Medicare recovery audit contractors
- Small practices: Adapting to survive
- 2 more senators introduce bills to publish Medicare claims data
- Bill would roll back restrictions on HSAs, FSAs
- Denial-management programs get claims paid
- Leasing practice to hospital can be a viable business plan
- Small medical practices struggling with physician turnover
- Greening your technology: A high-tech way to save the planet
- Not e-claim compliant? Expect no pay in 2012
- House revives bill to allow interstate health insurance sales
- Obama deficit plan includes strengthened Medicare pay board
- IPAs see ACOs as a second chance
- Sharpening your survey skills: How practices can measure patient satisfaction
- MM7684 – Multiple Procedure Payment Reduction for Physician Services for Certain Diagnostic Imaging Procedures in CAHs
- House GOP budget plan aims to slice entitlements, deficit
- Web-Based Training Available at Your Convenience as Encore Recorded Events
- Keeping workers healthy doesn’t have to cost a fortune
- - 3/27/2012
- Health reform’s first change: tax reporting rule cut
- MM7734 – April 2012 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- How to keep office romances from hurting your practice
- MM7692 – Revised Editing for Hepatitis B Administration Code G0010
- House panel votes to end insurance exchange and school health center funding
- MM7686 – Medicare System to Include ‘Rendering Provider’ Field to Allow Correct Physician NPI Reporting for PCIP for CAHs Reimbursed Under Optional Method
- Bill seeks outside review of relative values in Medicare services
- MM7717 – SNF/SB Part A Billing Requirements for Assessment Date Reporting and Removal of Occurrence Code 16 Reporting Requirement
- Shutdown would have had little effect on Medicare, Medicaid claims payments
- LCD
- Appealing denied claims seems to work, GAO report says
- MM7680 – Update to the FY 2012 List of Codes Exempt From Reporting Present on Admission
- Pediatricians experiment with concierge house call practices
- MM7675 – Revisions to the Hospice Medicare Summary Notice
- Bill would post every physician’s Medicare billing data on Internet
- - 3/13/2012
- Reducing EMR training to save money exacts high toll
- Crossover Information Regarding Claims With eRx Payment Reduction
- Supreme Court refuses to hear pay-for-delay case
- MM7363 – Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators
- New Jersey Blues ordered to pay $8 million for putting claims on hold
- Patient Screening
- How to avoid being burned by staff burnout
- GOP targets mandatory funding for health reform law
- Treating mental illness in primary care — and still getting paid
- Beginner’s Guide to Medicare – Part 3
- “There is a fiduciary duty here. It’s really inconceivable to us.”
- Viewing and Searching Notices, LCDs and FAQs Is Now Easier
- - 4/11/2012
- Electronic and Paper Claim Submission Requirements
- CWF Great Lakes, Keystone and Southeast Hosts Unavailable February 18, 2012
- “Beware of Small Print – It Can be Bad for Your Wallet”
- MM7533 – CY 2012 Medicare Rural Health Clinic and Federally Qualified Health Center Payment Rate Increases
- Modifiers 52 and 53
- Medicare Documentation and Audits
- LCD
- LCD
- LCD
- Determining Eligibility for the Medicare Health Professional Shortage Area Physician Bonus Payment
- Data Tools Can Give You a Better Sense of Average Utilization Rates
- January 2012 Web Site Enhancements
- Déjà Vu – RAC Prepayment Reviews Are Back!
- Envelope Control/Reference Number Matching for Version 5010 Claim Transitions
- LCD
- LCD – Non
- MM7687 – Update to Abortion Condition Codes Associated With Reason Code 32809
- MM7671 – Summary of Policies in the CY 2012 MPFS Final Rule and Telehealth Originating Site Facility Fee Payment Amount
- MM7706 – Update to Medicare Claims Processing Manual, Chapter 3, ‘Inpatient Hospital Billing’
- Effective February 12, 2012 – RACF Password Rule Changes
- MM7631 – Revised and Clarified Place of Service Coding Instructions
- MM7694 – New Waived Tests
- MM7703 – MPPR on Imaging Procedures and the OPPS Cap on Technical Component of Imaging Procedures
- MM7704 – Reporting ICD-10 Codes on Type of Bill 33X
- Improper Billing of Code G0431
- Electronic Prescribing
- LCD
- ESRD Top Billing Errors
- ESRD Top Billing Errors Teleconference
- MS-DRG 247 Cardiovascular Procedure With Drug-Eluting Stents Without MCC Documentation
- Appeals
- Update
- March 2012 TrailBlazer A/B Call Center Closures
- Joint Replacement Documentation
- SE1205 – Updating Beneficiary Information With the Coordination of Benefits Contractor
- Preparing for Version 5010 Upgrade – Questions to Ask Your Vendor
- MM7688 – Immediate Recoupment for FFS Claims Overpayments
- Advance Beneficiary Notice of Noncoverage (ABN)
- Medical Denials and Appeals
- Understanding the Medicare Remittance Advice
- J4 Ask-the-Contractor Teleconference
- Physician Quality Reporting System for 2012
- MM7610 – Screening for Sexually Transmitted Infections and High-Intensity Behavioral Counseling to Prevent STIs
- TrailBlazer’s IVR and Web Site – Self-Service Tools for Medicare Information
- Due March 5, 2012 – Availability of the Proposed Federal FY 2013 Wage Index Public Use Files, Deadline for Requesting Revisions to the Wage Index Data and Wage Index Development Timetable
- Medicare Proposes New Steps to Protect Taxpayer Dollars – Affordable Care Act Gives New Authority to Recover Overpayments More Quickly
- - 4/24/2012
- MM7641 – Intensive Behavioral Therapy for Obesity
- Major Improvements to Medicare Online Enrollment System
- Medicare-Covered Preventive Services – Information and Resources
- LCD – Brachytherapy: Non
- Joint Replacement Medical Review
- CAH Top Billing Errors and Resources
- J4 LCD Updates – January 2012
- Important Update Regarding HIPAA Version 5010/D.0 Implementation
- Effective April 12, 2012, Testopel™ (Testosterone Pellet) (J3490/S0189) Non-Covered
- The Physician Payment Sunshine Rules
- Billing for Belimumab (Benlysta®)
- CMS Issues Proposed Rules About Returning Overpayments
- Drugs and Biologicals Web Page Enhancements
- Cross-Claim Part A/B Medical Review
- Inpatient High-Dollar Edit – Prepay Edit Effective January 1, 2012
- Version 5010 Emergency/Non-Scheduled Ambulance Claims Issue
- EDI Technology Support Center Hours
- Resolution of the 5010 Electronic Claims Submission 496 Edit
- SNF Top Billing Errors
- New Short-Term Acute Care PEPPER Now Available
- Billing for Drug Wastage
- Reprocessing Advanced Diagnostic Imaging Claims Denied in Error
- MSP
- Version 5010 – Where Are We Now? CMS Webinar – Central Event Invitation
- Requesting Immediate Recoupment for Demanded Part A Overpayments
- CR 7742 – April 2012 Healthcare Provider Taxonomy Codes
- SE1204 – The Role of the Zone Program Integrity Contractors, Formerly the Program Safeguard Contractors
- HIPAA 5010 835 Production ERAs
- SE1207 – 2012 Physician Quality Reporting System Claims-Based Coding and Reporting Principles
- SE1206 – 2012 Electronic Prescribing Incentive Program: Future Payment Adjustments
- - 4/10/2012
- - 7/26/2012
- - 7/12/2012
- - 6/21/2012
- - 6/7/2012
- President Obama Signs the Middle Class Tax Relief and Job Creation Act of 2012 – New Law Includes Physician Update Fix Through December 2012
- AdvanceMed is Bringing Prepayment Review to Georgia
- SE1210 – Recovery Auditor’s Findings Resulting From Medical Necessity Reviews of Renal and Urinary Tract Disorders
- February 2012 TrailBlazer eBulletin Now Available
- Automatic Reprocessing of Specific Long-Term Care Hospital Short-Stay Outlier Claims
- Office of Medicare Hearings and Appeals Changes Case System
- MM7672 – January 2012 Hospital OPPS Update
- MM7578 – FISS and CWF System Enhancement for Storing Line Level Rendering Physicians/Practitioners NPI Information
- Save Time – Submit Your Medicare Enrollment Application Through Internet-Based PECOS, Now With e-Signature
- 2011 CERT Errors for Skilled Nursing Facilities
- Updated 2012 Medicare Physician Fee Schedule Now Available
- Were You Sent a Request to Revalidate Your Medicare Enrollment?
- Understanding the Local Coverage Determination (LCD) Process
- 2012 MedPARD Directory Now Available
- - 5/29/2012
- Overpayment Collections on Inappropriate Place of Service Billing
- TrailBlazer Loses Medicare Administrative Contractor Bid Protest
- Claim Submission Errors
- Crossover Claims Rejecting Due to Unnecessary Billing of Discharge Date
- Claim Submission Errors
- Physician Quality Reporting System Errors: Measure #235 and Reporting of NOC Codes
- President Obama Signs the Temporary Payroll Tax Cut Continuation Act of 2011 – New Law Includes Physician Update Fix Through February 2012
- Part A PC Print Version 4.1.2 Is Now Available!
- New TrailBlazer Medical Director’s Perspective Blog
- “What do you really owe when a debt collector calls?”
- HIPAA 5010 Claims Translation Issues Affecting Medicare Crossover Claims – Error Codes H51108, H20203 and H45255
- ICD-10 Is Closer Than It Seems – Steps to Take to Refine Your Version 5010 Upgrade and Updated HIPAA Version 5010/D.0 Implementation Document
- Part B IVR Enhanced to Provide NPI and PTAN Validation
- Extension of Moratorium That Allows Independent Laboratories to Bill for the TC of Physician Pathology Services Furnished to Hospital Patients
- - 4/3/2012
- Cross-Claim Part A/B Medical Review
- Overview of the 2012 Medicare Incentive Programs
- Correct Reporting of Inpatient Rehabilitation Facility Transfer Claims
- CWF Northeast, Pacific and South Hosts Unavailable March 24, 2012
- Claims Processing Issue Related to Part B Ambulance Services for Skilled Nursing Facility Patients
- February 2012 Web Site Enhancements
- ‘Incident to’ Services
- RACF Password Rule Changes Effective March 12, 2012
- A7 Claim Adjustment Reason Code to Force Balance the Remittance Advice
- 2013 Electronic Prescribing Payment Adjustment Update
- Medicare Beneficiary Inquiries
- MM7723 – Instructions for Processing Form CMS-855O Submissions
- MM7748 – April 2012 Hospital Outpatient Prospective Payment System Update
- SE1208 – Form CMS-855O Medicare Enrollment Application Ordering and Referring Physicians or Other Eligible Professionals
- SE1209 – Provider Inquiry Screens Regarding Telehealth Services Eligibility Dates
- Emergency Department (ED) Services Medical Review Results
- Hot Topics in Cross-Claim Medical Review
- SE1212 – Important Information Concerning Medicare Outreach Efforts to Supplemental Payers Directing Their Payments to Incorrect Addresses
- MM7678 – Revised RARC N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries
- LCD
- MSP Questionnaire
- Chiropractic Services
- Medicare Redesigns Claims and Benefits Statement
- Updates, Changes and Reminders
- Laboratory Services Billing Guidelines
- ESRD Updates and Resources
- ORF/CORF Top Billing Errors and Resources
- Welcome to Medicare – New Provider Guide
- OPPS Updates and Top Billing Errors
- Medicare Physician Fee Schedule and Medicare Physician Fee Schedule Database
- EDI DDE Training
- EDI DDE Training
- EDI DDE Training
- EDI DDE Training
- EDI DDE Training
- EDI DDE Training
- Effective April 1, 2012 – Billing Nerve Conduction Studies
- - 5/9/2012
- J4 LCD Updates – February 2012
- EDI DDE Training
- EDI DDE Training
- Indian Health 2012 Medicare Workshop
- EDI DDE Training
- Edits for Multiple Billing Units of Inserted Device Codes – Response to the Outcome of OIG Report A-01-10-00515
- Redesigned Calendar of Events Web Page
- Information Regarding the Billing and Payment for Administration of Provenge®
- Why HIPAA Privacy and Security Are Becoming More Important Every Day
- Extension of Enforcement Discretion Period for Updated HIPAA Transaction Standards Through June 30, 2012
- Changes to Help Identify Recovery Auditor Demand Letters
- Taxonomy Code Reporting Problem Affecting Outbound HIPAA 5010 837 Institutional Claims
- LCD
- HIPAA Compliance Is Becoming More Important Every Day
- - 5/22/2012
- LCD – Erythropoiesis Stimulating Agents (ESA) – Non
- MM7751 – April 2012 I/OCE Specifications Version 13.1
- TX and OK Home Health Agencies: Beware of Home Health Compliance Risks
- Prolonged Services with Direct Patient Contact Medical Review Results
- Stay Informed – Join TrailBlazer’s E-Mail Listserv
- TrailBlazer’s eBulletins – Keep Current on Medicare Information
- Alternative Feedback Report Request Process for Quality Initiatives
- Correct Address for Mailing Part B MSP-Related Correspondence
- MS-DRG 069, 312, 473 and 714 – Prepay Edits Effective April 1, 2012
- Billing/Coding Alert: Semi-Quantitative Drug Testing
- Medicare Remittance Advice Information and Resources
- Notice of Finalized LCDs for J4 – March 2012
- SNF Ask-the-Contractor Teleconference
- SE1214 – HHAs Avoid Payment Reductions – Participate in Consumer Assessment of Healthcare Providers and Systems
- 5010 837P and 837I Transaction Edits Updated
- IMPORTANT: 5010 Electronic Claim Submission
- New Release of PEPPER for CAHs, IPFs, IRFs and LTCHs
- April 2012 TrailBlazer A/B Call Center Closures
- March 2012 TrailBlazer eBulletin Now Available
- LCD
- LCD
- Part A Claims Held Due to April 2012 System Release
- MM7754 – April 2012 Ambulatory Surgical Center Payment System Update
- MM7767 – Emergency March 2012 Update, Middle Class Tax Relief and Job Creation Act of 2012, to CY 2012 MPFS Database
- Delayed Paperwork (PWK) Implementation
- Negative Medicare Reimbursement
- MM7745 – April 2012 Medicare Physician Fee Schedule Database Update
- MM7633 – Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
- MM7637 – Screening for Depression in Adults
- MM7636 – Intensive Behavioral Therapy for Cardiovascular Disease
- MM7727 – Medicare Quality Reporting Incentive Programs Manual Update
- CWF Great Western, Mid-Atlantic and Southwest Hosts Unavailable April 21, 2012
- MM7679 – 2012 DMEPOS HCPCS Code Jurisdiction List
- MM7802 – July 2012 Quarterly Correct Coding Initiative Edits, Version 18.2
- Claims Approved to Pay – Part B IVR Enhancement
- Billing for Transcatheter Aortic Valve Replacement (TAVR) Outside a Clinical Trial
- LCD
- - 7/18/2012
- - 6/19/2012
- Indian Health 2012 Medicare Workshop
- - 6/5/2012
- Indian Health 2012 Medicare Workshop
- MM7523 – Billing for Donor Post-Kidney Transplant Complication Services
- March 2012 Web Site Enhancements
- CMS Quarterly Provider Update
- Time Limits for Reporting Changes to Provider Enrollment and How to Expedite the Change of Information Process
- Getting Started With Medicare: Provider Enrollment
- LCD
- J4 LCD Updates – March 2012
- Beginner’s Guide to Medicare – Part 3
- - 5/8/2012
- - 5/1/2012
- SE1215 – Information for Medicare FFS Providers About the Middle Class Tax Relief and Job Creation Act of 2012
- SE1211 – CMS Fraud Prevention: Automated Provider Screening and National Site Visit Initiatives
- MM7766 – Clinical Laboratory Fee Schedule – New Waived Tests
- Holding Institutional Claims Containing CPT Code 33249 and HCPCS Code C1882
- Effective April 16, 2012
- CWF Eligibility Issue
- MPPR for Selected Therapy Services
- Take a Look at Version 5010 FAQs and View CMS’ Version 5010 Page and Resources
- MM7775 – July 2012 CARC, RARC, MREP and PC Print Update
- SE1217 – Guidance for Correct Claims Submission When Secondary Payers Are Involved
- SE1218 – Redesigned Medicare Summary Notices
- ICD-10 Compliance Delayed Until October 1, 2014
- Medicare Administrative Contractor (MAC) Implementation Schedule
- MM7795 – New Waived Tests
- MM7810 – July 2012 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
- MM7397 – Pharmacy Billing for Drugs Provided ‘Incident to’ a Physician Service
- MM7778 – 2012 HCPCS Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments Edits
- - 6/26/2012
- Part A and Part B Reprocessing Claims Information Per Affordable Care Act
- - 6/6/2012
- - 6/13/2012
- - 6/12/2012
- Part A PC Print Version 4.1.3 Is Now Available!
- Holding ESRD 72X Claims With HCPCS Code J3370
- Holding Critical Access Hospital Method II 85X Claims With Modifier 22
- CR 7812 – JH A/B MAC Award – New Workload Numbers for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas and for the J4 WPS Legacy Part A Workload
- May 2012 TrailBlazer A/B Call Center Closures
- How mobile devices can help a physician land a job
- MM7797 – General Update to Chapter 15 of the Medicare Program Integrity Manual Part V
- MM7793 – Claim Status Category and Claim Status Codes Update
- MM7473 – Correction to Processing of Hospice Discharge Claims
- Quality Reporting Communication Support Page Available for Medicare Electronic Prescribing Payment Adjustment Hardship Exemption Requests
- MM6417 – Expanded Editing of Ordering/Referring Providers – Delay in Phase 2 Editing
- Beginner’s Guide to Medicare – Part 1
- April 2012 National Correct Coding Initiative (NCCI) Changes
- April 2012 TrailBlazer eBulletin Now Available
- Thirty-Day Comment Period Now Open for HHS Proposed Rule to Delay ICD-10
- Complete Signing Your Medicare Enrollment Application Electronically
- Medicare Stable, But Requires Strengthening
- MM7442 – Multiple Procedure Payment Reduction on Certain Diagnostic Imaging Procedures
- LCD
- 3 steps to EHR training for new staff members
- Patients want to use social media tools to manage health care
- Beginner’s Guide to Medicare – Part 2
- 2012 Open Pre-CAC Meeting for the June CAC Meeting
- J4 Ask-the-Contractor Teleconference
- MM7762 – Hospital Dialysis Services for Patients With/Without ESRD
- MM7764 – Anesthesiologist Services With Modifier GC in Method II Critical Access Hospital
- MM7815 – FISS Update for Clinical Laboratory Fee Schedule Upload to Include Kansas Payment Locality Structure
- MM7794 – New Influenza Virus Vaccine Code
- MM7792 – New Occurrence Code to Report Date of Death
- MM7791 – Additional Instructions Related to CR 7633 – Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
- MM7260 – Modification to CWF, FISS, MCS and VMS to Return Submitted Information When There Is a CWF Name and HIC Number Mismatch
- MM7798 – Update to FISS Processing for ESRD Quality Incentive Program for Children’s Hospitals
- MM7816 – Temporary Directions to Accommodate Organ Donor Complications Billing on 837I Claims
- Provider Taxonomy Code Problem Impacting Outbound HIPAA 5010A2 837 Institutional Crossover Claims Fully Resolved – March Medicaid Payments in Selected States Delayed
- MM7755 – Ensuring Hospice Certifying Physician Identifiers Are Fully Processed
- MM7831 – July 2012 Quarterly HCPCS Drug/Biological Code Changes
- Providers Who Receive Error Codes H20203 and H45255 Need to Balance Bill
- TrailBlazer Online Resources
- How to oversee practice staff’s appearance — legally
- HCPCS G0431 Drug Screening Edit
- Doctors’ love-hate relationship with EHRs
- MM7600 – New Physician Specialty Codes for Sleep Medicine and Sports Medicine
- - 7/10/2012
- SE1219 – A Physician’s Guide to Medicare’s Home Health Certification Including the Face-to-Face Encounter
- Medicare FFS Part A Common Edit and Enhancements Module Editing Clarification
- LCD – Erythropoiesis Stimulating Agents (ESA) – Non
- - 7/24/2012
- MM7771 – New FISS Edit to Review Medicare OPPS Payments Exceeding Charges
- Submit Your Medicare Enrollment Application up to 60 Days Before the Effective Date
- Payment Delay Affecting Inpatient Hospital and Skilled Nursing Facility Claims
- MM7785 – Revisions of Financial Limitation for Outpatient Therapy Services – Section 3005 of Middle Class Tax Relief and Job Creation Act of 2012
- - 7/31/2012
- - 7/17/2012
- LCD
- JAMA unveils network linking 10 AMA journals
- MM7760 – Systematic Validation of Payment Group Codes for PPS Based on Patient Assessments
- Physician interest in online CME is strong
- The best ways to market your practice at local events
- FDA weighs prescriptions without medical visits
- Stage 2 meaningful use rules sharply criticized by physicians
- Study highlights how health information exchange can cut costs
- RHC Top Billing Errors and Resources
- Effective May 14, 2012
- Medical Review Results: Non-Emergency Ambulance Transports Billed With Modifiers NJ/JN/EJ/JE
- Due June 4, 2012 – Availability of the Final Federal FY 2013 Wage Index Data Public Use Files and Deadline for Requesting Corrections to the Data
- Rural Health Ask-the-Contractor Teleconference
- HHS Finalizes New Rules to Cut Regulations for Hospitals and Health Care Providers, Savings More Than $5 Billion
- Medicare Electronic Prescribing Payment Adjustment Hardship Exemption
- Shared Savings Program and Accountable Care Organizations and Models Information and Resources
- J4 LCD Updates – April 2012
Archives
- May 2012 (49)
- April 2012 (69)
- March 2012 (109)
- February 2012 (155)
- January 2012 (169)
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