The Centers for Medicare & Medicaid Services (CMS) recently began automatic recoupment of advance payments it made to practices during the COVID-19 pandemic, the agency announced.
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You can also contact the TMA Knowledge Center at (800) 880-7955.
If a patient is a Medicare beneficiary, can you bill Medicare for the routine task of drawing a blood sample? The answer: It depends.
The Low-Down on Looking Up Medicare MBIsNow that Medicare has begun replacing patients’ Health Insurance Claim Numbers (HICN) with the Medicare Beneficiary Identifier (MBI), you might be wondering how you’ll find those MBIs.
Can’t Say It Enough: Document, Document, DocumentWhen Medicare delves into claims errors, one stands out above the rest: insufficient documentation.
Ten Services You Can Bill Medicare for Separately From a Surgical Procedure See which services fall outside “normal,” so you can bill Medicare for them separately from that surgical procedure.
Ways to Avoid a Medicare AppealNovitas Solutions reports receiving 1.7 million requests per year to correct minor errors or omissions of Medicare claim information.
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.
Got Medicare questions? Call the Knowledge Center.
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TMA’s free Reimbursement Review and Resolution Service (formerly known as the Hassle Factor Log) can help resolve issues with your payer network status, prompt-pay, and other reimbursement claims.
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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.
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