Medical Billing News

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California Updates Law on PHI in 2020

Thursday, January 31st, 2019

Effective Jan. 1, 2020, the California Consumer Privacy Act of 2018, officially called AB-375, grants consumers the right to request a business to disclose the categories and specific pieces of personal information it collects about a consumer. The AB-375 requires entities that meet the following criteria to comply with the law: annual gross revenue in […]

Patient Lost Medicare Card?

Saturday, January 19th, 2019

If your patients accidentally threw away their new Medicare card, ask them to call 1-800-MEDICARE and request a replacement. Your patients can also sign into MyMedicare.gov to print an official card. They must create an account if they do not already have one.

6 Major Medicare Changes in 2018

Thursday, February 15th, 2018

Medicare’s Independent Payment Advisory Board has been killed. It was authorized by the Affordable Care Act to serve as a check on higher Medicare expenses. It was quickly labeled a death panel by opponents and became such a lightning rod that no board members were ever named. The rules for Medicare’s Part D drug plans […]

Medicare Opt Out Affidavit

Tuesday, February 13th, 2018

In order to see Medicare beneficiaries, providers must: 1) Be enrolled as a Medicare provider or 2) Opt out of Medicare to privately contract with Medicare patients. Providers who opt out and privately contract must do so for all services provided to all Medicare beneficiaries; not for some but not others. Medicare providers receive payment […]

Therapy Cap Claims Rolling Hold

Tuesday, February 6th, 2018

CMS is immediately releasing for processing held therapy claims with the KX modifier with dates of receipt beginning January 1-10; CMS will also implement a “rolling hold” to minimize impact if legislation to extend the outpatient therapy caps exceptions process is enacted.

Psychiatric Collaborative Care Management Services (PCCM) in 2018

Sunday, January 21st, 2018

Starting January 2018, the Centers for Medicare and Medicaid Services (CMS) approved payment for services provided to patients with behavioral health disorders who are participating in psychiatric collaborative care programs or are receiving behavioral health integration services. Medical billing companies utilized the three CMS approved HCPCS codes – G0502, G0503 and G0504 – for billing […]

Medicare Psych Rates Increase

Friday, December 13th, 2013

Medicare announced rate increases for mental health services this week. As CMS reports, “The 2014 payment rates increase payments for many medical specialties with some of the greatest increases going to providers of mental health services including psychiatry, clinical psychologists and clinical social workers.” Psychologists are listed as having the second largest boost for 2014, […]

Say Goodbye to PalmettoGBA Online Provider Services & Hello to Noridian Endeavor

Saturday, September 7th, 2013

Access to Online Provider Services will no longer be available for J1 Part B users effective September 13, 2013. Effective Monday, September 16, 2013, contact Noridian for your Medicare needs at 1-855-609-9960.  Visit Noridian’s web site at www.noridianmedicare.com/je/ for information on Endeavor.

Noridian EDI Enrollment and Claim Notice

Monday, August 5th, 2013

Noridian, in collaboration with Palmetto GBA and CMS, has established the following dates to begin the transfer process of EDI Enrollment and EDI Claims Processing from Palmetto GBA to Noridian: Medicare Part B Date Category Directive 8/30/13 EDI Enrollment Last day providers and vendors are able to submit Medicare Part B EDI Enrollment paperwork/correspondence to […]

Transition Timeline for the New CMS 1500

Sunday, July 28th, 2013

The new CMS forms were designed to change over from ICD9 to ICD10 diagnosis codes.  During the implementation period when both versions are accepted, there will be an indicator added to designate which version of diagnosis code you are using, ICD9 or ICD10.  Another major change is that the new forms will be able to […]

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