HEALTHCARE NEWS
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Open Meetings for Local Coverage Determinations
5/6/2012
INTERNET - 9/8/2011In accordance with the Centers for Medicare & Medicaid Services (CMS) directive to include information and opinions from members of the general public as part of the local coverage determination (LCD) process, National Government Services will host open, public meetings at whi...
Reminder: Technical Component of Advanced Diagnostic Imaging Accreditation Requirements Effective Sunday, January 1, 2012
5/6/2012
National Government Services 01/04/12Suppliers 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 ...
Medicare Updates Hep B Admin Code Guidance
5/6/2012
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 ...
Horizon Medicare Blue TotalCare (HMO SNP)
5/6/2012
Horizon Blue Cross Blue Shield. January 1, 2012
Effective January 1, 2012, Horizon Healthcare of New Jersey, Inc. will offer a Special Needs Plan (SNP), Horizon Medicare Blue Total Care (HMO SNP),
to New Jersey residents who are eligible for both Medicare and Medicaid coverage.
This $0 p...
CDC: One-in-two Americans will have mental health issue
5/6/2012
HEALTHDAY NEWS - 9/8/2011A report from the CDC says that about 25% of Americans experienced mental illness in the past year, and experts project that about half will suffer a form of mental illness in their lifetime. The cost of mental illness, including treatment and lost productivity, was roughly ...
Doc groups blast $320B Medicare, Medicaid cuts in 2013
5/6/2012
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 tri...
CMS Starts Immediate Recoupment for Overpayments
5/6/2012
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...
Electronic Funds Transfer
5/6/2012
Horizon Blue Cross Blue Shield. January 24, 2012
In 2012, Horizon Blue Cross Blue Shield of New Jersey will require the use of Electronic Funds Transfer (EFT). In the first quarter of 2012, we will begin to require the use of EFT for newly credentialed group practices and solo physicians and oth...
Service-Specific Prepay Audit Being Conducted for Physical and Occupational Therapy Services Billed by Physicians
5/6/2012
INTERNET - 9/8/2011National 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 bil...
Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims
5/6/2012
The Office of E-Health Standards and Services (OESS) announced on November 17,
2011, that although the 5010/D.0 compliance date of January 1, 2012 will not change,
HIPAA enforcement of compliance with the standards will be deferred until March 31,
2012.
The 5010 versions of ...
CMS proposes coverage for obesity counseling in seniors
5/6/2012
MEDPAGE TODAY - 9/8/2011The CMS is proposing to offer coverage for behavior modification and weight-loss counseling among older, highly obese Medicare patients. The counseling will involve a weekly primary care office visit in the first month, one office visit every other week in the second to sixth...
Upcoming Medical Record Audits for 2012
5/6/2012
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 Nat...
27.4% cut has been postponed by Medicare for 10 months
5/6/2012
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 Deal
The House of Representatives voted 293-132 late Friday morning to pass a ...
Aetna buys popular mobile app iTriage maker for ACO
5/6/2012
Aetna
Aetna buys popular mobile app iTriage maker for ACO, which provides information about medical issues and finds nearby providers or health facilities.
"We're going to begin to change the healthcare industry by giving people tools they can put in the palm of their hand,&...
Deactivation of Clinical Education E-Mail Box and Telephone Line
5/6/2012
National Government Services12/28/11 National Government Services will deactivate the telephone line and e-mail box that are currently used for Clinical Education effective July 1, 2011. Providers who direct messages to this e-mail box or phone line on or after July 1 will not receive a r...