Medicare Ordering/Referring Claims Denials to Take Effect May 1 Medicare will begin denying claims on May 1, 2013, if the ordering/referring provider listed on the claim is not in the Provider Enrollment, Chain and Ownership System (PECOS), the database Medicare uses to track physicians and other providers. March 27, 2013 Medicare, Payment, Physician Resource Medicare, Medicare ordering/referring, CMS-855o, PECOS 0 0 Comment Read More »
Blue Shield Requires Physicians to Notify Patients Before Referring Out-of-Network On March 15, Blue Shield announced that it would soon begin requiring contracted physicians to notify patients in writing before making out-of-network referrals. Effective May 15, physicians will be required to notify patients in writing using a form provided by the payor when referring a patient to an out-of-network provider. March 27, 2013 Payment Blue Shield, managed care 0 0 Comment Read More »
When Email Is Part of the Doctor's Treatment Patients love it. Physicians find it often saves them time and money. So why aren't more doctors burning up the email lines with their patients? March 27, 2013 Technology telehealth, Email, Physician email 0 0 Comment Read More »
End-to-end Testing Will Ensure Streamlined Transitions to Updated HIPAA Transactions and Operating Rules Centers for Medicare and Medicaid Services awarded a grant to the National Government Services to develop and pilot an end-to-end testing process through the End-to-End Testing Industry Collaborative Partner (ICP) work group. This process is intended to be used for all future operating rule and standard system updates, as well as the pending ICD-10-CM update. March 22, 2013 News HIPAA operating rules, ICD-10, Emdeon , HIPAA transactions, Industry Collaborative Partner 0 0 Comment Read More »
Medical Volunteerism: Helping Out in Your Own Backyard SFMS member Paul Turek, MD discusses medical volunteerism and his role in founding Clinic by the Bay. March 19, 2013 San Francisco Medicine, SFMS Member medical volunteerism, philanthropy, physician volunteer opportunities, Clinic by the Bay, Paul Turek 0 0 Comment Read More »