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2008 Medicare Updates/Insurance News

  • Refund Request Letters from OIG/FCSO:  FAQs and Follow-up Letter for POS OIG Audit (12/29/08)

  • From First Coast Service Options: Evaluation & Management Services Guide (8/14/08)

  • From First Coast Service Options: Medicare Update (7/16/08)

  • From First Coast Service Options: Information regarding PT Medicare Caps (Updated 7/16/08)

  • From First Coast Service Options: (4/24/08)
    Do you have your NPI? Are you using it? Have you tested claims with the NPI only? Still have questions or need help? Then you'll want to participate in this very important NPI teleconference. Final implementation is just around the corner. Will you be ready?
    Click here to find out how you can register.  Julie Stiles, Training Administrator First Coast Service Options, Inc.
  • From First Coast Service Options: (4/10/08)

    All providers and suppliers must begin using the revised ABN starting September 1, 2008.

    "Beginning Monday, March 3, 2008, providers (including independent laboratories), physicians, practitioners, and suppliers may use the revised ABN for all situations where Medicare payment is expected to be denied. The revised ABN replaces the existing ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), and NEMB (Form CMS-20007). CMS will allow a 6-month transition period from the date of implementation for use of the revised form and instructions. Thus, all providers and suppliers must begin using the revised ABN (CMS-R-131) no later than September 1, 2008." FFS ABN-G and ABN-L

  • From First Coast Service Options: New and Revised SE Articles (February 1 - March 31, 2008): (4/10/08)
  • The revised Medicare Physician Fee Schedule Fact Sheet (January 2008), which provides general information about the Medicare Physician Fee Schedule, is now available in print format from the Centers for Medicare & Medicaid Services Medicare Learning Network. To place your order, visit http://www.cms.hhs.gov/mlngeninfo/, scroll down to "Related Links Inside CMS" and select "MLN Product Ordering Page." (3/24/08)
  •  NPI Updates (3/24/08)
  •  NPI-Medicare Updates (2/18/08)
  • The Agency for Health Care Administration (AHCA) Satisfaction Survey (2/13/08)

    AHCA has created a satisfaction survey to improve their level of customer service for Medicaid providers. The survey has been available for approximately a month to any active Medicaid providers, and will be up through the end of February. Please share the link below with any of your members who are Medicaid providers, to ensure that their comments and suggestions are heard and taken into account as AHCA develops further ways to improve the service they provide. http://ahca.myflorida.com/Medicaid/provider_survey/index.shtml

    Bill Parizek, Strategic Planning Services (SPS)
    Division of Medical Quality Assurance (MQA)
    Florida Department of Health
    Phone: (850) 245-4702 (SC 205-4702); FAX: (850) 414-8209
    E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
  • Medicare Learning Network (MLN) Matters Special Edition Articles (from First Coast Service Providers) (2/1/08)
  • NPI Updates (2/1/08)
  • Outpatient Therapy Cap Financial Limitation Revision (from First Coast Service Providers) (2/1/08)
  • Medicare Update '08: Dr. Meritt's SAM lecture (1/24/08)
  • Multiple Procedure Payment Reduction for Mohs Micrographic Surgery (from First Coast Service Providers) (1/24/08)

    Under the multiple procedure payment reduction policy, payment for subsequent surgical procedures performed during the same operative session by the same physician is reduced by 50 percent. The Mohs surgery codes have been exempt from the multiple procedure payment reduction rules since the inception of the physician fee schedule.

    Effective for dates of service on or after January 1, 2008, the multiple procedure indicator for CPT codes 17311 and 17313 will be changed from “No payment adjustment rules for multiple procedures apply" to “Standard payment adjustment rules for multiple procedures apply.” Therefore, subsequent procedures will be subject to the 50 percent reduction when performed on the same date of service.  

    More information is available in the Final Rule Physician Fee Schedule at: http://www.cms.hhs.gov/physicianfeesched/downloads/CMS-1385-FC.pdf
  • 2008 EMC Holding of Claims (1/2/08)

    Florida Podiatric Medical Association
    PHONE: 1-800-277-3338 • FAX: (850) 681-0899

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