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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...

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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) will not go into effect January 1,...

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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 not meet the minimum reporting requirements for PQRS in...

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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 practices that have signed up...

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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 & Medicaid Services) has announced that there will be...

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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 (PT) and Speech Language Therapy (SLP)...

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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 April 1, 2013 in 11 states, FL, CA, MI, TX, NY, LA, IL, PA, OH, NC and MO....

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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. Physical therapists and occupational...

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Blue 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...

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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 (J1). This change covers providers in California, Hawaii,...

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The 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 Article

Image may be NSFW.
Clik here to view.

PQRS 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 Article

Image may be NSFW.
Clik here to view.

Medical 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 Article


Image may be NSFW.
Clik here to view.

Mandatory 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 Article

Image may be NSFW.
Clik here to view.

Medicare 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 Article


Image may be NSFW.
Clik here to view.

Manual 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 Article

Image may be NSFW.
Clik here to view.

Medicare, 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 Article


Blue 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...

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Noridian 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 Article

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ICD-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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