New for 2017 & 2018
Are you prepared for the New Medicare Cards?
- April 2018 Patient's will begin to receive their new Medicare Cards.
- Is your system ready for the new MBI format?
- See the MPC August 2017 Newsletter for more details.
CMS Global Surgery Data Collection
- This new program began July 1, 2017, as a pilot program in 9 states. Will it end there?
- Practitioners will be required to identify post-operative visits.
Have you switched to the New Advance Beneficiary Notice (ABN)?
- Check out the 9 rules to follow as you use the renewed ABN form in the MPC Autumn 2017 Newsletter
Protecting your practice from employing bad actors.
- Did you know you are required to check the Medicare Exclusion list montly?
- See the MPC Fall 2017 Newsletter for other tips for your hiring practices.
Department of Health & Human Services Office of Inspector General
- Between 2011 - 2014 CMS improperly paid over $729 million to providers that did not comply with federal requirements under the Electronic Health Record Incentive Programs.
SEE MPC's 2017 NEWSLETTERS FOR ADDITIONAL INFORMATION »
When to Hire a Consultant
- There are many reasons when the best choice for your practice may be to hire a consultant. When an objective point of view is needed, if a situation requires special proficiency, the practice is facing a major crisis, or if management seems to be operating in crisis mode.
Terminating Reassignment Agreements
- Individual practitioners should notify Medicare within 30 days of any change in reassignment agreements, since failure to do so allows the previous entity to continue billing Medicare. Individual practitioners and/or suppliers can terminate a reassignment with the designated Medicare fee-for-service contractor.
Routine Waiver of Patient Responsibility
- "There are a few instances where a provider is allowed to write off the balance after Medicare has made payment. This is not allowed on a routine basis. The provider must make a reasonable effort to collect the coinsurance and/or deductible. Providers that routinely waive the collections of the coinsurance and/or deductible are in violation of the law pertaining to false claims and kickbacks." According to the Trailblazer Medicare Part B Newsletter No. 08-077, February 29, 2008.