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Find-A-Code Focus Newsletter

2017 June Articles


New Medicare Number: Prepare Your Systems for April 2018

June 29, 2017 - By CMS.gov
CMS will begin mailing new Medicare cards with a new Medicare number (previously called the Medicare Claim Number on cards) to your patients in April 2018.  Beginning in October 2018, through the transition period, CMS will return your patient’s new Medicare number (Medicare Beneficiary I... Read More

DMEPOS: Payment for Group 3 Complex Rehabilitative Power Wheelchair Accessories Effective July 1

June 29, 2017 - By CMS.gov
CMS is adopting a new interpretation of the statute that impacts how adjustments to the fee schedule based on information from competitive bidding programs apply to wheelchair accessories used with group 3 complex rehabilitative power wheelchairs. Effective July 1, fee schedule amounts for wheelchai... Read More

MLN Homepage Return to List Date 2017-06-29 Subject MLN Connects for June 29, 2017 MLN Connects banner Thursday, June 29, 2017 News &

June 29, 2017 - By CMS.gov
In a study report, the Office of the Inspector General (OIG) noted that 42 percent of claims for Evaluation and Management (E/M) services in 2010 were incorrectly coded, which included both upcoding and downcoding (i.e., billing at levels higher and lower than warranted, respectively), and 19 percen... Read More

Changes to the Payment Error Rate Measurement and Medicaid Eligibility Quality Control Programs (CMS-6068-F)

June 29, 2017 - By CMS.gov
Today, June 29, 2017 the Centers for Medicare & Medicaid Services (CMS) posted a final rule that will publish on July 5, 2017 to implement changes to the Payment Error Rate Measurement (PERM) and Medicaid Eligibility Quality Control (MEQC) programs to reflect changes to the way states adjudicate... Read More

CMS Proposes 2018 Policy and Payment Rate Changes for End-Stage Renal Disease Facilities

June 29, 2017
Proposed rule builds patient-centered system of care to increase competition, quality and care  The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would update payment policies for the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). Th... Read More

CMS Overpaid Providers $729 Million in Incentive Payments

June 20, 2017
Medicare paid hundreds of millions in electronic health record incentive payments that did not comply with federal requirements according to the OIG.  The OIG estimated CMS inappropriately paid $729,424,395 to EPs who did not meet the requirements for meaningful use. Eligible professional&rsqu... Read More

The Centers for Medicare & Medicaid Services (CMS) seeks public input on reducing the regulatory burdens of the Patient Protection and Affordable Care

June 08, 2017 - By CMS.gov
The Centers for Medicare & Medicaid Services (CMS) today issued a Request for Information (RFI) seeking recommendations and input from the public on how to create a more flexible, streamlined approach to the regulatory structure of the individual and small group markets. Our goal through this pr... Read More

United States Intervenes in Second False Claims Act Lawsuit Alleging that UnitedHealth Group Inc. Mischarged the Medicare Advantage and Prescription D

June 06, 2017
Don't let this happen to you! Some sources suggest that United Health Group may be on the line for over $1 billion for ignoring issues they identified because of improperly calculating risk adjustment for millions of Medicare beneficiaries. Check out Find-A-Code's new HCC Coder product at https://ww... Read More

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