Providers will have their say about the future of Medicare Administrative Contractors.
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...
Therapy caps exceptions process still set to expire by year’s end
Nov 30, 2009
Unless Congress takes action to extend it, the exceptions process for Medicare Part B therapy caps will expire Dec. 31.
Medicare Part B premium freeze put on ice
Oct 12, 2009
A measure that would prevent a cut to Social Security payments failed in the Senate. As a result, rising Medicare Part B premiums are expected to adversely affect 27% of Medicare beneficiaries.
Letter urges Congress to extend therapy caps exceptions process
Jan 28, 2010
A coalition of 32 healthcare-related organizations, including the two major nursing home organizations, is imploring lawmakers to immediately reinstate the exceptions process for Medicare Part B outpatient...
GAO: Medicare spent $48 billion on improper fee-for-service payments
Jul 29, 2011
The federal government spent nearly $48 billion on improper Medicare payments in 2010 according to a new report from the Government Accountability Office. The report was released just prior to a House...
Providers rip huge backlog of therapy claims reviews
By
James M. Berklan
Jan 01, 2014
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
Medically Complex Medicare Part B
By
Shelly Mesure, MS, OTR/L
May 08, 2013
While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare...
‘Doc fix’ bill calls attention to need for therapy fix, NASL leader says
By
Tim Mullaney
Jul 29, 2013
Provider groups are urging lawmakers to address outpatient therapy payments in addition to fixes to Medicare’s physician payment system, according to Cynthia Morton, executive vice president of the...
Upon further review
By
Kimberly Marselas
Feb 02, 2013
Instead of spending more time doing hands-on patient care, therapists who work with Medicare beneficiaries have been strapped with increased administrative tasks, sometimes leading to delayed services,...