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News
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Nov 17
2009The Centers for Medicare and Medicaid Services (CMS) has indicated that the PQRI program in 2008 was a success with a significant increase in payments to eligible providers / professionals over 2007. According to a news release from CMS dated Friday, November 13, more than 85,000 physicians and other eligible participants received incentive payments totaling more than $92 million. As compared to the $36 million paid for 2007.
CMS published a fact sheet outlining the changes for the 2010 PQRI and ePrescribing incentives. Changes include simplified reporting and expanded measures. For details go to:
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Nov 6
2009Blue Cross and Blue Shield of Alabama has announced that their new payment method that was scheduled to be implemented December 1, 2009 will be delayed. They are expected to announce fee schedule and processing changes by July 1, 2010. BCBS encourages providers to refer to https://www.bcbsal.org/providers/newpaymentmethodology/ or contact their Network Services Provider.
To view the carrier notification visit: https://www.bcbsal.org/providers/publications/providerFacts/2009-040.pdf
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Nov 5
2009On October 30, the Federal Trade Commission announced another delay in the enforcement of the "Red Flags" Rule. At the request of Members of Congress, the "Red Flags" Rule, which was scheduled to go into action November 1, 2009, has been delayed until June 1, 2010. For more information go to: http://ftc.gov/redflagsrule
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Nov 3
2009Phase 1 of the DMEPOS Claims Edits is now underway. Phase 1 will provide warning messages to prompt providers to take action prior to Phase 2 which will result in rejections beginning January 4, 2010.
Phase 1 (October 5, 2009 through January 3, 2010), DMEPOS suppliers who report ordering/referring providers who do not pass both edits will receive an informational message on their remittance. (Paper billers will not receive an informational message.) The claims will be paid.
Phase 2 (January 4, 2010 and thereafter), DMEPOS suppliers who report ordering/referring providers who do not pass both edits will have their claims rejected.
For more information refer to Change Request 6421-Editing the Ordering/Referring Provider in DMEPOS Claims