Need help with Medicare payment issues or with Medicare coding? Do you need information about Medicare enrollment or about participation options? Or are you looking for information about the future of Medicare – what about the payment update, new provisions in the federal Affordable Care Act, new bonuses or new compliance requirements?
Do you have questions and need quick answers? Contact Novitas Solutions with questions.
(855) 252-8782Mon.-Fri. (8 am-5 pm)
Use these Novitas website links for quick information:
IVR Flow Guide: Easily navigate Novitas' phone system.
Medical Policy Search: Search by CPT and ICD-9 code or key word.
CMS Fee Schedule
You can also contact the TMA Knowledge Center at (800) 880-7955, or read the latest Medicare E-Tip from TMA.
Avoiding RAC Audits - On-demand webinar1 AMA PRA Category 1 Credits™ (Enduring)1 ETHICS1 TMLT
Presented by: Jonnie Massey, CPC, CPC-P, CPC-I, CPMA in the TMA Education Center
Medicare won't expand its bundled payment program for orthopedic surgery and won't start several similar programs for cardiac care until Oct. 1 — and maybe later — the Centers for Medicare & Medicaid Services (CMS) announced.
The Federal Register published Medicare's 2017 final fee schedule rule on Nov. 15. It updates payment policies and rates for services furnished under the Medicare Physician Fee Schedule on or after Jan. 1, 2017. Although the original proposed rule included an expected fee schedule cut, the final rule increases the fees by a very small amount, less than one-quarter of 1 percent.
Feds Delay Office-Based Lab Financial ReportingThe Centers for Medicare & Medicaid Services (CMS) has pushed back to May 30 the deadline for physician office-based laboratories to meet new financial reporting requirements.
Medicare Revalidation: It Begins Again Medicare provider enrollment revalidation has entered phase two. The Centers for Medicare & Medicaid Services (CMS) has completed its initial round of revalidations under the Affordable Care Act (ACA) and will be resuming regular revalidation cycles — for physicians, that generally means revalidation every five years.
Hospice Certification Form How-toUnclear about exactly what information a Medicare hospice certification or recertification form must contain? CMS offers guidance on essential elements the form must have.
AMA, TMA Tell Feds to Speed Up Release of MACRA FundsThe federal government needs to kick it in gear and release funds for "the development of quality measures and technical assistance to small practices" authorized by the Medicare Access and CHIP Reauthorization Act (MACRA). That's the gist of an Oct. 7 letter from the AMA to CMS Acting Administrator Andrew Slavitt. TMA signed on to the letter in support of expeditious release of the critical funding.
TMA believes the patient-physician relationship must be preserved regardless of patients’ health conditions, ethnicity, economic circumstances, demographics, or treatment compliance patterns. Unfortunately, many pay-for-performance strategies, commonly referred to as “value-based payment models,” that intend to contain health costs could undermine this relationship.
Eliminating the constant threat of Medicare payment cuts means that we can focus our energies on improving this new law. We can focus our energies on removing the bureaucratic impediments that get in the way of good patient care.
Got Medicare questions? Call the Knowledge Center.
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Use TMA’s free tool to screen physicians from whom you receive order/referrals to make sure they are enrolled in the Medicare program.
More than ten million Medicare beneficiaries currently receive their Medicare coverage through Medicare Advantage (MA); a program in which Medicare contracts with and pays private health plans to provide coverage for Medicare benefits.