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Medicare Frowns on Duplicate Claim Submission

In a recent notification from Cahaba Government Benefit Administrators®, LLC,, the Medicare Administrative Contractor (MAC) for the states of Alabama, Georgia, and Tennessee, informed providers that the number of duplicate Medicare claims submitted is significant and improper.  Below is a statement included in this notification and a link to their article: Unlike other health insurance payers where it is customary to bill until paid, multiple or repetitive billing to Medicare for a particular item or service is…
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Retroactive Medicare Fee Updates for Patient Protection & Affordable Care Act

  CMS Provider Resources emailed the following notice regarding Medicare Retroactive Payment Corrections:   Important Message Regarding Medicare’s Implementation of the Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act of 2010   On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act.  One week later, on March 30, the President also signed into law the Health Care and Education Reconciliation Act of 2010.  These two…
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CMS Makes Plans to Use PECOS for EHR Incentive Registration

The Centers for Medicare and Medicaid Services (CMS) awarded a contract to CGI Federal, Inc. to expand the current provider enrollment system for HITECH Registration and Attestation Functionality.  The expansion of the Provider Enrollment Chain Ownership System (PECOS) is to include the ability for providers to register for electronic health records "meaningful use" incentives.    

Medicare Fee Schedule Freeze Extended to May 31

President Obama signed the extension bill that was approved by the House of Representatives last night regarding the extension of the Medicare physician payment freeze through May 31.    Claims that were being held with dates of service April 1 or later are being released for processing.  The statutory 14-day payment floor still applies. 

Electronic LabCorp Orders Available within MediSYS ePrescribe & EHR

Birmingham, AL, March 12, 2010……As part of MediSYS’ commitment to streamline healthcare information, MediSYS announced today the addition of ordering LabCorp tests from within MediSYS ePrescribe and MediSYS Electronic Health Records.  Electronic lab results have been available for practices with qualifying external lab volume for sometime from over 10 external lab reference companies direct to MediSYS EHR or ePrescribe.  The addition of LabCorp orders from within these applications will unify lab test processing and streamline…
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MediSYS Elects Comprehensive IFR Stage 1 Certification

MediSYS EHR Elects CCHIT Comprehensive Certification March 4, 2010…MediSYS announced today its plans to pursue the CCHIT Comprehensive Interim Final Rule Stage 1 for Electronic Health Records “meaningful use”.  CCHIT, the Certification Commission for Health Information Technology, has provided the requirements that EHR applications must complete for eligible providers to receive stimulus monies as part of the American Recovery and Reinvestment Act (ARRA) Stage 1 Interim Final Rule (IFR). This comprehensive certification program includes all…
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Alabama Awarded $10.5 Million to Build EHR System

As part of the $385 million federal stimulus funds to states to aide in the adoption and meaningful use of electronic health records, Alabama has been awarded $10.5 million to build EHR System. Medicaid’s Together for Quality is the state’s pilot project for EHR began in 2008.  Read more at: http://governorpress.alabama.gov/pr/pr-2010-02-25-01-electronichealthrecordsys.asp  

CMS Second Delay of Phase 2 for PECOS Edits

The Centers for Medicare & Medicaid Services (CMS) will delay until January 3, 2011 the implementation of Phase 2 which results in non-payment if the billed service requires an ordering/referring provider and the ordering/referring provider is not on the claim.  In early October, 2009 The Centers for Medicare & Medicaid Services (CMS) began Phase I to implement an expanded claim process to verify that the ordering/referring provider on a claim is eligible to order/refer and is enrolled in…
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CMS Delays Phase 2 for Claim Edits & Provides PECOS Help Line

In early October, 2009 The Centers for Medicare & Medicaid Services (CMS) began Phase I to implement an expanded claim process to verify that the ordering/referring provider on a claim is eligible to order/refer and is enrolled in Medicare.  Phase 1 provides a warning edit. Phase 2 results in unpaid claims.  In both phases, they determine if the ordering/referring provider on the claim matches the providers in the national PECOS file: CEDI will verify the National Provider Identifier (NPI)…
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Medicaid Electronic Claims Required March 1

According to a recent Medicaid ALERT to all providers, effective March 1, 2010, all Medicaid claims must be submitted electronically unless they require attachments or Administrative Review override by Medicaid.  Paper claims received after February 30 which do not require an attachment will not be processed by Medicaid. In addition, beginning March 1, calls to Medicaid’s Provider Assistance Center regarding patient eligibility will be directed to an electronic verification process or transferred to their Automated Voice Response System….
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Midmark ECG / MediSYS EHR Interface Operational

MediSYS EHR Midmark Diagnostic Interface Birmingham, AL (January 15, 2010) – MediSYS Electronic Health Records integration of Midmark Corporation's IQ diagnostic products is now operational. The MediSYS EHR initial integration of Midmark's products includes IQMark Digital ECG and IQMark EZ Holter.  MIdmark, headquartered in Ohio, provides medical, dental and veterinary healthcare equipment solutions. MidMark's ECG and holter will connect seamlessly to MediSYS EHR for efficient clinical information flow.  In addition, greater efficiency is realized because the…
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