tci Medicare Compliance & Reimbursement - 2009 Issue 21
INDUSTRY NOTES: Update Your Billing Address -- Or Lose Your Rights
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Article Overview
This article summarizes a set of Medicare and HHS administrative updates relevant to providers, suppliers, and billing staff. It covers contractor site verification activity, address maintenance concerns, payment-policy legislation, electronic health record incentive definitions, interest-rate changes on Medicare balances, specialty enrollment code changes, and a review of home health compliance focus areas.
Why This Topic Matters
It helps practices and billing teams understand which administrative changes could affect enrollment status, payment processing, and compliance monitoring. The article is useful for organizations that need to keep provider records current and track federal policy developments affecting Medicare operations.
Article Sections
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CMS site verification and billing address updates
Discusses Medicare contractor site visits and the need for providers and suppliers to keep enrollment and contact information current. The section also addresses operational verification activities tied to billing privileges.
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Medicare payment legislation update
Summarizes a Senate effort related to the Medicare physician payment structure and the status of that legislative proposal. It places the issue in the broader context of provider payment concerns.
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Meaningful use and EHR incentive guidance
Covers federal activity related to the definition of meaningful use for electronic health records and associated incentive eligibility. It highlights the role of CMS and the national health IT coordinator.
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Medicare interest rate adjustment
Explains a CMS update aligning interest calculations with a Treasury-based rate for Medicare overpayments and underpayments. The section references the underlying regulatory basis and related agency documents.
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New geriatric psychiatry specialty code
Describes changes to Medicare specialty enrollment coding, including the addition of one specialty designation and removal of several others. It is framed around PECOS enrollment and CMS transmittal guidance.
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ICD-9-CM coding resources and new codes
Points readers to an online coding course and transmittal resources for recent code updates. The section is aimed at coders seeking current instructional materials and reference documents.
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OIG Work Plan focus areas for home health
Outlines oversight topics in the HHS Office of Inspector General work plan affecting home health agencies. The section emphasizes audit and compliance areas under review.
What You Will Learn
- How Medicare contractor site verification can affect provider and supplier enrollment records
- What administrative and policy issues were being tracked for Medicare physician payment changes
- What federal guidance was pending regarding meaningful use for EHR incentives
- How CMS updates can affect interest calculations on Medicare balances
- What kinds of specialty enrollment changes were announced for physicians
- Where to find coding education and reference materials linked to ICD-9-CM updates
- Which home health compliance areas were identified for federal review
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Practice administrators
- Provider enrollment staff
- Home health agencies
- Physicians participating in Medicare
- Compliance officers
Codes Discussed
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