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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 […]
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” […]
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 […]
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 […]