March 1, 2016 seems like a long time ago. That is the date that the Federal Register published a proposed rule titled “Medicare, Medicaid and Children’s Health Insurance programs; Program Integrity Enhancements to the Provider Enrollment Process.”
It’s known as a TPE review. Have you heard of it? A Centers for Medicare & Medicaid Services (CMS) Targeted Probe and Education audit is a periodic review with the goal of reducing claim denials and appeals by providing claim review along with one-on-one provider education.
Do you have idle staff members looking for more work to do? Do you and your team have so much extra time that you are constantly creating busywork for them? In short, are you fulfilling all your payer enrollments, reenrollments and medical credentialing tasks perfectly, accurately and with plenty of time to spare?
The Centers for Medicare & Medicaid Services (CMS) has once again issued emergency instructions for providers and suppliers who submit claims to Medicare Administrative Contractors. The interim processes are applicable to beneficiaries who were affected by the November 30th Alaska earthquake.
As part of recently announced changes to Medicare requirements, covered in our earlier blog, the Centers for Medicare & Medicaid Services proposed collapsing the current Medicare billing structure for Evaluation and Management Services from 5 levels to 2.
Because President Trump declared that an emergency existed in Florida on October 9, 2018 and in Georgia on October 10, both as a result of the disastrous Hurricane Michael, the Centers for Medicare & Medicaid Services (CMS) authorized waivers in impacted areas of both states.