In response to yesterday's release of the White House budget proposal, provider groups are quickly blasting the President's proposed $320 billion cuts to Medicare and Medicaid, fearing repercussions for hospitals and their patients.
First announced in September, the federal plan targets $3.8 trillion in fiscal year 2013, which calls for $268 billion cuts to Medicare and $52 billion reductions to M...
Monday, February 20, 2012
The Centers for Medicare & Medicaid Services (CMS) is implementing an immediate recoupment process for demanded overpayments. As it stands, Medicare contractors begin recoupment of an overpayment on day 41 from the date of the initial demand letter. Effective July 1, 2012, however, providers can request recoupment to begin prior to day 41. Providers who elect this process may avoid the assessment ...
Monday, February 20, 2012
Effective for claims processed with dates of service on or after Jan. 1, 2011, Outpatient Prospective Payment System (OPPS) providers should report HCPCS Level II code G0010 Administration of hepatitis b vaccine for the administration of hepatitis b vaccine, rather than CPT® 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine...
Monday, February 20, 2012
Adequate and proper medical documentation is essential for quality medical care. We conduct audits to review practitioner documentation and ensure compliance with Centers for Medicare and Medicaid Services (CMS) and New York State Department of Health (NYSDOH) regulatory requirements and to meet National Committee for Quality Assurance (NCQA) standards of patient care.
Here are some of the audits ...
Monday, February 20, 2012
As part of President Obama’s commitment to reducing regulatory burden, Health and Human Services Secretary Kathleen G. Sebelius today announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10).
The final rule adopting ICD-10 as a standard wa...
Monday, February 20, 2012
Horizon Blue Cross Blue Shield.
Beginning January 1, 2012, physicians,other health care professionals and facilities that participate in the Horizon Managed Care Network may see patients, who are New Jersey residents, enrolled in several new out-of-state national account groups. All members of these national account groups are enrolled in open access plans.
Special features of these national ...
Monday, February 13, 2012
Horizon Blue Cross Blue Shield.January 1, 2012 Effective January 1, 2012, Horizon Healthcare of New Jersey, Inc. will offer a Special Needs Plan (SNP), Horizon Medicare Blue TotalCare (HMO SNP), to New Jersey residents who are eligible for both Medicare and Medicaid coverage. This $0 premium plan is designed to provide more focused and specialized health care to this population and includes covera...
Friday, January 27, 2012
Horizon Blue Cross Blue Shield. January 24, 2012 In 2012, Horizon Blue Cross Blue Shield of New Jersey will require the use of Electronic Funds Transfer (EFT). In the first quarter of 2012, we will begin to require the use of EFT for newly credentialed group practices and solo physicians and other health care professionals. We will require that all participating group practices, physicians and ot...
Friday, January 27, 2012
WCH Service Bureau, Inc is glad to introduce you our service “Physician Marketing”. Our experience in the medical industry guarantees you a successful specialty specific marketing scheme. We take a different marketing approach for each of our clients taking budget. WCH is practicing a personal approach to each client, no templates, be unique! We will help your practice: Build strong bra...
Thursday, January 19, 2012
Massachusetts-based Harvard Pilgrim Massachusetts-based Harvard Pilgrim has started paying patients $10 to $75 each time they get medical tests at a lower cost provider. Under Harvard Pilgrim's SaveOn program, when members get referrals from their doctors, they can call the insurer's "clinical concierge" line that directs them to hospitals or other facilities that charge less for the same tests...
Thursday, January 12, 2012
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