Academy Advocacy Spurs Significant New Flexibility in Quality Payment Program
First Coast Service Options (First Coast), your Medicare Administrative Contractor for the fee-for-service program in Florida, reached out to you in June, requesting your help in communicating important changes related to enrollment revalidation to your members to prevent potential loss of revenue to their practice or facility. We are contacting you again, asking your assistance in recommunicating this information as a reminder of its importance to the provider community
Provider Enrollment Revalidation Cycle 2
Retina practices may perform multiple tests, depending on the patient’s diagnosis. How to document those tests varies by state. Be sure your documentation meets the specific requirements outlined by your Medicare Administrative Contractor. To help you meet those requirements, the Academy has provided the correct coding guidelines applicable for each state.
Another great benefit of being an FSO member is that the Board is comprised of committees that are chaired by fellow members who are dedicated to making the practice of medicine better. Over the last 10 years, your third party committee has been working hard behind the scenes and have helped draft, edit and establish with First Coast Service Options (FCSO) the following local coverage determinations listed below.
First Coast Service Options, Inc., (First Coast) is the Medicare Administrative Contractor for jurisdiction 9, serving Medicare providers and beneficiaries in Florida, Puerto Rico, and the U.S. Virgin Islands. The Provider Outreach and Education department is working to promote Electronic Remittance Advice (ERA) to those providers still receiving paper remittances through regular mail. We have been performing focused education by reaching out to those providers that we show still receiving paper remittances and offering education and assistance.
American Academy of Ophthalmology (AAO) Members Strongly Urged to Demand Congress Pass a Medicare Physician Pay Fix that Protects Patient Access to Quality Specialized Medical Care.
President Obama has submitted an economic growth plan to the new joint House and Senate committee charged with recommending $1.2 trillion in federal deficit savings. Included in his plan is about $224 billion of savings in the Medicare program, achieved through a combination of cuts and reforms.
Physicians who were unable to meet the Medicare ePrescribing program's requirements have until Nov. 1 to apply for a hardship exemption to avoid monetary penalties in 2012.
The Medicare ePrescribing penalty rule required physicians to issue and report at least 10 electronic scripts (e-scripts) during the first six months of 2011. Those who were unable to do so face a penalty that reduces their total 2012 Medicare payments by 1 percent.
It is crucial for First Coast Service Options'(FCSO) electronic trading partners to schedule 5010 transaction testing now.
The Centers for Medicare & Medicaid Services (CMS) requires all HIPAA-covered entities to complete 5010 testing with each of their trading partners and successfully transition to the new 5010 data format before January 1, 2012. However, with only a few months left until mandatory implementation, those that continue to wait to schedule 5010 testing risk significant delays in their transition to production.
If a recent American College of Physicians (ACP) survey is to be believed, a majority of physician practices could face serious cash-flow issues at the beginning of next year, due to non-compliance with new HIPAA 5010 data standards by the Jan. 1 deadline (effectively, Dec. 30, since Jan. 1 is a Sunday).