2013 Medicare Physician Fee Schedule Information
As of January 1, 2013 Medicare’s Physician Fee Schedule is due to be cut by 27% over the 2012 Fee Schedule. This is only for services on or after January 1, 2013. Medicare will continue to process...
View ArticleThe Fiscal Cliff Bill Signed 1-2-13
American Taxpayer Relief Act of 2012 Signed by President Obama Medical providers are relieved that the 27% reduction in the Medicare Physician Fee Schedule (MPFS) will not go into effect January 1,...
View ArticlePQRS reporting in 2013 effects provider payments in 2015
Many medical providers have not begun preparing for Medicare’s Physician Quality Report System (PQRS) reporting in 2013. Any provider who does not meet the minimum reporting requirements for PQRS in...
View ArticleMedical Claim Follow up
If your office is not following up on all claims to make sure they are paid correctly and in a timely manner you may be missing out on thousands of dollars per year. Most practices that have signed up...
View ArticleMandatory Payment Reductions for Medicare due to Sequestration
Due to the Budget Control Act of 2011 and President Obama’s issuance of a sequestration order on March 1, 2013, CMS (Centers for Medicare & Medicaid Services) has announced that there will be...
View ArticleMedicare Therapy Cap/Threshold policy 2013
Medicare has announced that the therapy cap amounts for 2013 will be $1,900.00 for Occupational Therapy (OT) and a separate $1,900.00 cap for Physical Therapy (PT) and Speech Language Therapy (SLP)...
View ArticleManual Medical Review of Outpatient Therapy Claims Effective April 1, 2013
Medicare is implementing manual medical review of all outpatient therapy claims that exceed the $3,700.00 threshold effective April 1, 2013 in 11 states, FL, CA, MI, TX, NY, LA, IL, PA, OH, NC and MO....
View ArticleMedicare, Sequestration and MPPR
The first Medicare EOB’s for services performed in April 2013 are just now being sent and what they show is a major reduction in pay for physical medicine codes. Physical therapists and occupational...
View ArticleBlue Shield to share CalPERS HMO contract
Medical providers who treat California Public Employees Retirement System (CalPERS) HMO patients need to be aware that effective January 1, 2014 their patients could have a different insurance...
View ArticleNoridian to become the new Medicare MAC for Jurisdiction 1
Noridian has announced that they will become the new Medicare Administrative Contractor (MAC) for Jurisdiction E (JE), formerly Jurisdiction 1 (J1). This change covers providers in California, Hawaii,...
View ArticleThe Fiscal Cliff Bill Signed 1-2-13
The Fiscal Cliff Bill Signed 1-2-13 American Taxpayer Relief Act of 2012 Signed by President Obama Medical providers are relieved that the 27% reduction in the Medicare Physician Fee Schedule (MPFS)...
View ArticlePQRS reporting in 2013 effects provider payments in 2015
PQRS reporting in 2013 effects provider payments in 2015 Many medical providers have not begun preparing for Medicare’s Physician Quality Report System (PQRS) reporting in 2013. Any provider who does...
View ArticleMedical Claim Follow up
Medical Claim Follow up If your office is not following up on all claims to make sure they are paid correctly and in a timely manner you may be missing out on thousands of dollars per year. Most...
View ArticleMandatory Payment Reductions for Medicare due to Sequestration
Mandatory Payment Reductions for Medicare due to Sequestration Due to the Budget Control Act of 2011 and President Obama’s issuance of a sequestration order on March 1, 2013, CMS (Centers for Medicare...
View ArticleMedicare Therapy Cap/Threshold policy 2013
Medicare Therapy Cap/Threshold policy 2013 Medicare has announced that the therapy cap amounts for 2013 will be $1,900.00 for Occupational Therapy (OT) and a separate $1,900.00 cap for Physical Therapy...
View ArticleManual Medical Review of Outpatient Therapy Claims Effective April 1, 2013
Manual Medical Review of Outpatient Therapy Claims Effective April 1, 2013 Medicare is implementing manual medical review of all outpatient therapy claims that exceed the $3,700.00 threshold effective...
View ArticleMedicare, Sequestration and MPPR
Medicare, Sequestration and MPPR The first Medicare EOB’s for services performed in April 2013 are just now being sent and what they show is a major reduction in pay for physical medicine codes....
View ArticleBlue Shield to share CalPERS HMO contract
Blue Shield to share CalPERS HMO contract Superior Medical Billing Solutions provides expert ICD-10 electronic transaction billing services and support to Temecula Valley medical practices with limited...
View ArticleNoridian to become the new Medicare MAC for Jurisdiction 1
Noridian to become the new Medicare MAC for Jurisdiction 1 Noridian has announced that they will become the new Medicare Administrative Contractor (MAC) for Jurisdiction E (JE), formerly Jurisdiction 1...
View ArticleICD-10 end to end testing with CMS – 2015
ICD-10 end to end testing with CMS – 2015 Superior Medical Billing Solutions is pleased to announce that we were chosen as one of 800 entities to complete ICD-10 end to end testing with CMS in January...
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