Tag: MACs

CMS seeks public comment on new proposed Medicare application process

CMS announced plans to streamline the Medicare application process for providers by making changes to the Medicare enrollment application to make applying for eligibility a smoother process. According to Modern Healthcare, changes will include removing duplicate fields, adding new specialty codes for physicians and non-physician practitioners and questions with “Yes/No” check boxes. The order of […]

CMS announces new, more targeted Medicare audit process

After reporting favorable results from a pilot program started in 2014 to reduce errors in the Medicare claims submission process, CMS announced last week that they will move forward with the new auditing strategy—which combines a review of a sample of claims with education—changing the process slightly by moving from a broad “Probe and Educate” […]

CMS allows exception for incorrect NOEs that wind up being late

The Centers for Medicare & Medicaid Services (CMS) has announced through Change Request (CR) 8877 that hospices that discover a Notice of Election (NOE) has errors might be able to be exempted from the five-day rule. Hopsice must be able to provide the MAC documentation to prove when the original NOE was submitted, when the […]

GAO releases report on implementation of Manual Medical Review process

On July 10, the United States Government Accountability Office (GAO) released a report to Congress about the implementation of the 2012 manual medical review (MMR) for Medicare outpatient therapy. According to the report, in 2011, Medicare paid about $5.7 billion to provide outpatient therapy services for 48 million beneficiaries. This report describes the Center for […]