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DecisionHealth stock imageYou will have to pony up $505 per provider to enroll them for Medicare billing privileges -- but only if you are an "institutional provider." This category basically refers to any provider who is enrolling to supply durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). Most notably, physicians, non-physician practitioners (NPP) or groups of either that are not DMEPOS suppliers don't have to pay the fee.
DecisionHealth stock imageA wide swatch of skilled nursing facility (SNF) services, primarily for ultrasound and echocardiography, were incorrectly denied between Jan. 1 and March 14, 2011. The incorrect denials were caused by Medicare contractors not updating their claims processing system edits to include a total of 37 codes in the 76000 code series, CMS says.
CMS released a new batch of FAQs Friday regarding Electronic Health Record (EHR) Incentive Programs, which could make your switch to EHR seem less ominous. Some of CMS' responses include clarification on what a "reasonable cost" is under the new program, determining how hospital-based status is determined for eligible professionals, discussing whether large practices will be able to register all eligible professionals at once and more.
DecisionHealth stock photoThe new annual wellness visits for seniors received acclaim on Capitol Hill Wednesday and its success could mean a revenue boost for your practice. Sen. Max Baucus (D-Mont.) boasted of the Medicare program’s success and potential overall cost reduction in a Senate Finance Committee hearing on the progress of new benefits and programs enacted by The Affordable Care Act, according to a media release.
CMS has issued a reminder that annual wellness visit (AWV) services rendered in the hospital setting (inpatient or outpatient) will be held by contractors and not paid until April 3. This only applies to AWVs that are billed alone on a claim; when the AWV is billed with another service, the entire claim will be processed, the agency says. The reason is that Medicare contractors must update their claims processing systems; they won't be ready to process standalone AWVs until April 3.

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