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They could be shopping in your local supermarket, frequenting your favorite restaurants or even living next door. The HHS Office of Inspector General (OIG) wants you to be on the lookout for "health care fugitives" who've allegedly ripped-off Medicare, Medicaid and other health care programs. 
 
“Individuals who steal from Federal health care programs and then flee from the consequences of their crimes must be held accountable. We hope our new Web page will encourage the public to help us apprehend these fugitives,” said Gerald T. Roy, OIG deputy inspector general for investigations.
If you received a denial on your annual wellness visits (AWVs) on your first round of remittance advices for 2011, it could take until mid or late March for affected carriers to pay you back. At least one carrier that experienced the issue -- which caused their systems to automatically deny many AWVs -- gave me the mid-late March date. That would be First Coast Service Options, with jurisdiction over Florida, Puerto Rico and the U.S. Virgin Islands. First Coast officials also revealed that around 1,000 claims were impacted.
 
A federal judge in Florida on Monday ruled the Patient Protection and Affordable Care Act (PPACA) is unconstitutional. This action, however, won’t eliminate sections of the bill already implemented by CMS. You can keep providing annual wellness visits and waiving copays and deductibles for certain preventive services covered by Medicare.
Have you found that your quality reporting bonus checks are lower than you expected?
 
CMS says your incentive payments from the Physician Quality Reporting System and Electronic Prescribing Incentive Program are subject to offsets. The agency explains that it may reduce quality program bonus payments for any outstanding debt linked to your Taxpayer Identification Number (TIN).
CMS just launched a redesigned, upgraded version of its Medicare Coverage Database (MCD). The MCD site houses all national coverage determinations (NCDs) and local coverage determinations (LCDs), as well as a search engine to find the ones you're looking for. The new site "has been restyled from the ground up" although the functionality is unchanged, CMS says.

First off, the old URL address -- www.cms.gov/MCD/ -- will still work even though the new website has a new URL, www.cms.gov/medicare-coverage-database/. Going to the old URL will automatically redirect your browser to the new one.

You can see at a glance why CMS describes the new site as being "restyled."  There is an animated menu bar that presents the navigation choices clearly and cleanly. The big tabs at the top make it easier to access various functions, whereas the old site required clicking on less obvious text links.

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