Billing News Mar 2012



CMS STATEMENT: Extension of Enforcement Discretion Period for Updated HIPAA transaction standards through June 30, 2012

  • March 19, 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 that is required to comply with the updated transactions standards adopted under the Health Insurance...

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National Provider Call: Overview and Listening Session: Stage 2 Requirements for the Medicare and Medicaid EHR Incentive Programs ñ Save the Date

  • March 5, 2012

This National Provider Call will provide an overview of the proposed rule, so you can learn what you need to know to receive EHR incentive payments. The call will take place on March 12, 2012; 12:30-2pm ET. Registration is required. More than $3.2 billion in Medicare and Medicaid electronic health record (EHR) incentive payments have been made...

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Blues highlight medical, benefit policy changes

  • March 5, 2012

Procedures for which BCBS Michigan is clarifying guidelines will appear under Policy Clarifications. 81228, 81229, S3870Basic Benefit Policy Clarification Genetic testing-array comparative genomic hybridization (ACGH) for the genetic evaluation of patients with developmental delay, mental retardation or autism spectrum disorder remains...

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President Obama Signs the Middle Class Tax Relief and Job Creation Act of 2012--New Law Includes Physician Update Fix through December 2012-

  • March 5, 2012

On Wednesday, February 22, 2012, President Obama signed into law the Middle Class Tax Relief and Job Creation Act of 2012. This new law prevents the scheduled 27.4% payment cut for physicians and other practitioners who treat Medicare patients from taking effect on March 1, 2012. The new law extends the current zero percent update for such...

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Healthcare Fraud Prevention and Enforcement Efforts Result In Record-Breaking Recoveries Totaling Nearly $4.1 Billion

  • March 5, 2012

Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius released a new report showing that the government’s healthcare fraud prevention and enforcement efforts recovered nearly $4.1 billion in taxpayer dollars in fiscal year (FY) 2011. This is the highest annual amount ever recovered from individuals and...

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HHS Announces Intent to Delay ICD-10 Compliance Date

  • March 5, 2012

Health and Human Services Secretary Kathleen G. Sebelius 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 was published in January 2009...

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Trailblazer 4010 to 5010 Side-By-Side Comparison Tool

  • March 5, 2012

Providers are encouraged to view the 4010 to 5010 Side-By-Side Comparisons to assist with new 5010 requirements. • Institutional Claim 837-I 4010A1 to 5010 Side-by-Side. • Professional Claim 837-P 4010A1 to 5010 Side-by-Side. http://www.cms.gov/ElectronicBillingEDITrans/Downloads/InstitutionalClaim4010A1to5010.pdf http://www.cms.gov/...

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CMS PROPOSES DEFINITION OF STAGE 2 MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY

  • March 5, 2012

CMS announced a proposed rule for Stage 2 requirements for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The fact sheet summarizes CMS’ proposed requirements for Stage 2 of the Medicare and Medicaid EHR Incentive Programs and highlights: • Changes to Stage 1 Criteria for Meaningful Use • Greater...

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