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HealthCare News

Sunday, May 6, 2012
National Government Services 01/04/12    Suppliers of the technical component of Advanced Diagnostic Imaging that are billing with a service date on or after Sunday, January 1, 2012, must evidence an active accreditation date for diagnostic imaging of current procedural terminology (CPT) codes attached to an magnetic resonance imaging (MRI), computed tomography (CT), and nuclear medicine claim. Th...
   INTERNET 12/30/2011   The Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3765) signed by President Obama on December 23, 2011, provides for a 60-day delay in the 27.4% cut in Medicare physician reimbursement scheduled to take effect on January 1, 2012. Despite the “delay”, your fee schedule will change. A slightly modified conversion factor of $34.0376 will be utilized to calculate ph...
Sunday, May 6, 2012
  INTERNET - 9/8/2011 National Government Services, Inc. is currently conducting a service-specific prepayment review for Physical Therapy and Occupational Therapy Services being performed by specialties other than Specialty 65 (Physical Therapist billing independent) and 67 (Occupational Therapist billing independent). This article includes some c...
Sunday, May 6, 2012
Congress passed a bill to delay a scheduled 27% cut in Medicare payments by 10 months, and the president released his 2013 proposed budget, which requests a slight increase for health programs.Congress Passes SGR DealThe House of Representatives voted 293-132 late Friday morning to pass a compromise bill that would delay the Medicare rate cut, and the Senate passed it by a 60-36 vote less than an ...
Sunday, May 6, 2012
In response to yesterday's release of the White House budget proposal, provider groups are quickly blasting the President's proposed $320 billion cuts to Medicare and Medicaid, fearing repercussions for hospitals and their patients.First announced in September, the federal plan targets $3.8 trillion in fiscal year 2013, which calls for $268 billion cuts to Medicare and $52 billion reductions to Me...
The Centers for Medicare & Medicaid Services (CMS) is implementing an immediate recoupment process for demanded overpayments. As it stands, Medicare contractors begin recoupment of an overpayment on day 41 from the date of the initial demand letter. Effective July 1, 2012, however, providers can request recoupment to begin prior to day 41. Providers who elect this process may avoid the assessment ...
Sunday, May 6, 2012
Effective for claims processed with dates of service on or after Jan. 1, 2011, Outpatient Prospective Payment System (OPPS) providers should report HCPCS Level II code G0010 Administration of hepatitis b vaccine for the administration of hepatitis b vaccine, rather than CPT® 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine...
Sunday, May 6, 2012
Adequate and proper medical documentation is essential for quality medical care. We conduct audits to review practitioner documentation and ensure compliance with Centers for Medicare and Medicaid Services (CMS) and New York State Department of Health (NYSDOH) regulatory requirements and to meet National Committee for Quality Assurance (NCQA) standards of patient care.Here are some of the audits y...
Sunday, May 6, 2012
As part of President Obama’s commitment to reducing regulatory burden, Health and Human Services Secretary Kathleen G. Sebelius today announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10).  The final rule adopting ICD-10 as a standard was...
Sunday, May 6, 2012
Horizon Blue Cross Blue Shield.   Beginning January 1, 2012, physicians,other health care professionals and facilities that participate in the Horizon Managed Care Network may see patients, who are New Jersey residents, enrolled in several new out-of-state national account groups.  All members of these national account groups are enrolled in open access plans. Special features of these national ac...

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