Tag Archives: medicare

Did You Know…Medicare pays for Alcohol Mis-Use Screening & Counseling?

We all understand that mis-use of alcohol can lead to significant issues, but not many providers know that CMS will pay them to conduct a 15-minute patient screening to identify any mis-use of alcohol and, if found, to deliver up … Read Full Post

Tagged alcohol mis-use counseling, alcohol mis-use screening, cms, medicare, telehealth |

Repayment Proposals for Advance Payments (AP) During COVID-19

As explained in a prior blog, CMS will grant providers advance payment of three-months of Medicare claims, with repayment due by the 120th day of issuance of payment. After that time, interest will attach to the unpaid balance and CMS … Read Full Post

Tagged Advance payment, Coronavirus, COVID-19, medicare, physician payment, repayment |

Differences & Similarities between Home Health Agencies and Nurse Registries – Part 3

Welcome to the third part of our series about the differences between home health agencies and nurse registries. In this installment, we’ll review the last criterion from our list: one qualifying service by direct employee. Medicare requires that a home … Read Full Post

Tagged accrediting organizations, achc, direct employee service, home health agencies, home health agency vs. nurse registry, independent contractors, medicare, medicare certified home health agency, medicare condition of participaton, nurse registries, skilled nursing services, therapeutic services |

What We’re Reading – CMS Creates New Tip Sheet to Help Specialists Meet Meaningful Use

Navigating through all the information and requirements to meet meaningful use, and to successfully complete the necessary attestation, can be confusing and – at times – complicated for many providers. This tip sheet gives a full introduction of the EHR … Read Full Post

Tagged attestation for meaningful use, center for medicare and medicaid services, ehr incentive program, meaningful use, meaningful use measures, medicaid, medicare |

The Basics for Launching a Long-term Care-related Business

Not a week goes by without someone inquiring about how to open a long-term care related business. Whether it’s because of the state of the economy, fears of downsizing or burgeoning entrepreneurial spirit, the demographics in Florida are certainly in … Read Full Post

Tagged accreditation, AHCA, capital requirements, entrepreneurs, home health agencies, homemaker/companion services, long-term care, medicaid, medicare, non-skilled services, nurse registries, skilled services |

Minimize Claims Issues with One Simple Step

Most physician practices experience claims challenges, from denials and rejections to payment inaccuracies. As frustrating (and costly) as those issues are, they are almost avoidable with one simple step: verifying patient insurance eligibility. For patients covered by Medicare, it may … Read Full Post

Tagged claim issues, claims denied, insurance coverage, medicaid, medicare, patient eligibility, rejected claims, third party insurance, verifying patient insurance eligibility |

5010 Update: Extension of Enforcement Discretion Period for Updated HIPAA Transaction Standards through June 30, 2012

(March 15, 2012) The Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) is announcing that it will not initiate enforcement action for an additional three (3) months, through June 30, 2012, against any covered entity … Read Full Post

Tagged 5010 update, center for medicare and medicaid services, covered entities, hipaa, home health care billing, homecare billing, Imark consulting, medicaid, medicare, oess, version 5010 compliant transactions |

‘Meaningful Use’ for Physician Practices: Is It Worth the Trouble?

The foundation of the Medicare & Medicaid EHR Incentive Program is to improve quality of care. Facilitating documentation, enhancing provider communication and focusing on indicators that produce better outcomes necessitate an electronic solution for most providers. To achieve this, CMS … Read Full Post

Tagged attestation process, certified ehr technology, cms, ehr, ehr incentive program, electronic health records, meaningful use, meaningful use in physician practices, medicaid, medicare |

CMS Provides Guidance on 5010 Discretionary Enforcement Period for Medicare Fee for Service

Medicare Fee-for-Service (FFS) issued an announcement on December 14th regarding its plan for the 90 Day Discretionary Enforcement Period for non-compliant HIPAA covered entities. According to that announcement, CMS provided a 90 day discretionary period for compliance with planned January … Read Full Post

Tagged 4010 claims, 5010, 90 day discretionary period, cms, compliance plan, hipaa, medicare, medicare fee-for-service, medicare ffs, providers, submitters |

The Revalidation of Provider Enrollment Information

The revalidation process is a requirement of the Affordable Care Act for all Medicare providers and suppliers to revalidate their enrollment information in the Medicare program under new enrollment screening criteria. The revalidation process affects only those Medicare providers who … Read Full Post

Tagged 855, affordable care act, cms, medicare, medicare providers, one-time 60-day extension, payment suspension, pecos, provider, provider enrollment, revalidation, revalidation letter |