CMS National Provider Call August 1: Registration Now Open Centers for Medicare and Medicaid Services (CMS) is hosting a national call about a proposal to apply a value-based modifier to physicians’ Medicare payment rates. Register on the CMS Upcoming National Provider Calls web page for this call on August 1, 2012, at 11:30 am PST. July 25, 2012 Medicare, Payment Medicare payment rates, CMS National Provider Call 0 0 Comment Read More »
Ask the SFMS: Can I Balance Bill My Medi-Medi Patient? SFMS discuss whether physcians can balance bill Medi-Medi (patients who have Medicare as their primary insurance and Medi-Cal as secondary) patient for the 20 percent copay after Medicare pays? July 13, 2012 Medi Cal, Medicare, Payment Ask SFMS, Medi-Medi 0 0 Comment Read More »
CMS Releases 2013 Medicare Physician Fee Schedule Rule; Proposes Fee Increases for Primary Care, Projects 27% SGR Cut The Center for Medicare and Medicaid Services (CMS) released the proposed Medicare Physician Fee Schedule Rule for 2013. CMS projects a 27% reduction in the Medicare FFS payment rate due to the Sustainable Growth Rate (SGR) formula unless Congress acts before January 1, 2013 to stop the cut. July 10, 2012 Advocacy, Medicare, News, Payment 2013 Physician Fee Schedule, Medicare Physician Fee Schedule Rule, SGR 0 0 Comment Read More »
5010 Format Required for Electronic Claims Beginning July 1 The deadline for transitioning electronic transactions to the updated 5010 version of the Health Insurance Portability and Accountability Act (HIPAA) transactions standards is July 1, 2012. You will be required to conduct electronic transactions such as claims submissions, eligibility verification, claims status, remittance advice and referral authorizations using the updated transaction standards. June 12, 2012 HIPAA, Medicare, Payment, Physician Resource, Technology 5010, health information technology, HIPAA 0 0 Comment Read More »
Aetna Fee Schedule Changes In April, Aetna made changes to its fee schedule for its commercial lines of business. Although Aetna initially stated that the change would only affect Northern California physicians, SFMS has recently learned that the changes were applied statewide. June 11, 2012 News, Payment fee schedule change, Aetna 0 0 Comment Read More »
