decisionhealth Newsletters, Part B News - 2011 Issue 8 (August)
CMS updates claims reprocessing, clarifies advanced diagnostic imaging and PCIP
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Article Overview
This article summarizes a CMS open-door call for physicians and non-physician practitioners covering three administrative topics: claims reprocessing, Medicare enrollment changes related to advanced diagnostic imaging, and the Primary Care Incentive Payment program. It is useful for billing staff, practice managers, compliance teams, and providers who need to track CMS operational updates, enrollment requirements, and payment notice changes.
Why This Topic Matters
These CMS updates affect how practices monitor reprocessed claims, maintain enrollment records, and interpret payment remittances. Readers following Medicare administrative changes can use this article to understand the scope and timing of the agency’s operational adjustments.
Article Sections
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Claims reprocessing update
CMS provides an operational update on the status of claim reprocessing and the expected timeline for completion. The section also notes how providers may check on claim status through their Medicare contractor.
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Advanced diagnostic imaging rule for Medicare enrollment
CMS discusses planned Medicare enrollment form updates and related system changes for advanced diagnostic imaging information. The section addresses timing, accreditation-related enrollment maintenance, and related implementation issues.
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PCIP remittance advices will get easier to read, just not anytime soon
CMS explains forthcoming changes to Primary Care Incentive Payment remittance notices. The section focuses on how payment information will be presented and when the update is expected.
What You Will Learn
- The status and timeline of CMS claims reprocessing efforts
- How CMS is updating Medicare enrollment materials for advanced diagnostic imaging
- What CMS said about Primary Care Incentive Payment remittance advice changes
- Which administrative topics were addressed during the CMS open-door call
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical billing staff
- Practice administrators
- Compliance teams
- Medicare enrollment staff
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