All MedFocus Articles

Friday, June 10, 2011

Any Medicare-enrolled Part B organizational provider, DMEPOS supplier, or Part A Home Health Agency (HHA) provider may file claims with ordering or referring information.

 

1.       There are three basic requirements for ordering and referring:...

Friday, June 3, 2011

The Internal Revenue Service has announced that it will suspend enforcement of the 3% withhold rule until January 1, 2013.  Originally enacted as part of the Tax Increase Prevention and Reconciliation Act of 2005 (TIPRA), this law requires all federal agencies withhold an amount equivalent...

Tuesday, May 31, 2011

Before the public comment period on the ACO proposed rule had ended, the CMS Center for Medicare and Medicaid Innovations (Innovation Center) issued a Request For Applications (RFA) for an alternative model Accountable Care Organization referred...

Wednesday, May 25, 2011

The TIPRA law requires a 3% withhold of all payments made to anyone providing services to the federal government, including Medicare and Medicaid payments.  The withhold will then be returned as a refund against tax liabilities. 

The withhold of daily revenue from medical...

Sunday, May 15, 2011

Late in 2010, CMS announced that in 2011, Medicare would deny payments to physicians, home health agencies and DME suppliers if the ordering or referring provider was not properly enrolled in PECOS (Provider Enrollment Chain of Ownership System).  Due to the overwhelming outcry of...

Thursday, March 31, 2011

On April 18th, physicians may begin to attest to their achievement of the Stage 1 meaningful use criteria through a certified electronic medical record and apply to receive Meaningful Use incentive funds. 

 

  • Meaningful Use requirements include 15 core measures, any...
Tuesday, March 8, 2011

Blue Cross and Blue Shield and some of their subsidiary payers were found to have a practice of routinely denying claims or reducing payments inappropriately.  As part of their settlement surrounding this issue, they were required to correct this practice, and these settlement...

Monday, February 21, 2011

At this time, there is no method available for a third-party to register physicians for the Medicare and Medicaid EHR Incentive Programs.  ...

Tuesday, January 25, 2011

The following article appeared in the HITOC newsletter for January, 2011. 

 

Electronic health records incentives registration started Jan. 3, 2011

 

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for...

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