All MedFocus Articles

Monday, December 16, 2013

Several years ago, CMS mandated that payment for referral services would only be paid if the referring provider were properly enrolled in Medicare.  Due to industry pressure, the effective date for this policy was continually delayed to allow providers sufficient time to meet the...

Thursday, December 12, 2013

Medicare recently published their Final Rule for 2014.  In a previous post, we summarized the proposed changes to the Physician Fee Schedule - this article summarizes additional provisions...

Tuesday, December 10, 2013

On November 27, as many people were heading home to begin celebrating either Thanksgiving or the start of Hanukkah, the Centers for Medicare and Medicaid Services (CMS) released the 2014 Medicare physician fee schedule (PFS)...

Tuesday, October 22, 2013

Oregon is preparing for the FFY 2014 PERM cycle. Under the PERM program, the CMS PERM Review Contractor, A+ Government Solutions, will review a random selection of Oregon...

Friday, September 27, 2013

If patients ask me about "the Exchange", what do I say?

 

The...

Tuesday, September 10, 2013

NAS has recently received many provider inquiries regarding the billing of a new patient face-to-face visit.  Here's the short and sweet answer to billing a new patient to Medicare. 

 

CMS defines the phrase "new patient" as:

  • A patient who has not...
Tuesday, June 4, 2013

In preparation for the Health Exchange launch in Oregon later this year, the insurance landscape is changing as existing payers design their offerings and new payers are being introduced.  In May, physicians throughout Oregon received an invitation to participate in a new insurance plan...

Friday, May 24, 2013
This news from Portland IPA that affects practices in Oregon:

 

This week Portland InterHospital Physicians Association (Portland IPA), Oregon's largest physician group comprising more than 2,300 primary care and specialty physicians, has...

Friday, February 22, 2013

Everyone is keeping a wary eye on the October, 1, 2014 implementation date when CMS plans to move from ICD-9 to ICD-10 diagnosis and inpatient procedure codes.   While this deadline was postponed once due to the competing initiatives of Meaningful Use, CMS maintains that they will...

Wednesday, October 31, 2012

Good News!


Effective November 1, 2012, CareOregon has changed its policy to accept retroactive authorization requests from providers. 

 

To request a retroactive authorization, complete and fax a CareOregon...

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