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CMS grants additional extension for filing amended ...
CMS grants additional extension for filing amended Medicare cost report worksheet S-10 Data (FFY 2014 and FFY 2015)
Blog , News , Reimbursement DeLicia Pierce
CMS has confirmed that they have granted an extension from the original revised date of October 31, 2017 until January 2, 2018 for all Inpatient Prospective Payment System (IPPS) hospitals to resubmit certain Worksheet S-10 data.
CMS again notes that in order for these revisions to be considered, amended FFY 2014 and FFY 2015 Medicare cost...
Medicare Cost Report Preparation - Lawrence J Beardsley ...
Medicare cost report preparation is a complex, ever-changing and exacting legal obligation. Since both compliance and accuracy in Medicare cost reporting are key to uninterrupted and maximized CMS reimbursements, it is of crucial importance to the financial health of your organization. L. Beardsley CPA, Inc. is one of the largest and oldest dedicated providers of Medicare reimbursement and...
Date: 2018-03-24 09:40:12
SLP Legal - Services - Medicare Secondary Payor Reporting
MEDICARE SECONDARY PAYOR REPORTING
Section 111 of the Medicare, Medicaid & SCHIP Extension Act added additional mandatory reporting requirements to the Medicare, Medicaid and SCHIP Extension Act (MMSEA) of 2007.
The new requirements are in respect to Medicare beneficiaries who - in part - receive settlements, judgments, awards or other payments from a liability insurance plan,...
Date: 2017-02-08 22:53:33
Related topics : medicare medicaid and schip extension act of 2007 / medicare secondary payor reporting / medicare secondary payor act / centers for medicare and medicaid services cms / centers for medicare & medicaid services cms
Case Management for High-Cost Medicare Beneficiaries ...
We estimated the effects of three Health Care Financing Administration (HCFA)-funded case management demonstrations for high-cost Medicare beneficiaries in the fee-for-service (FFS) sector. Participating beneficiaries were randomly assigned to receive case management plus regular Medicare benefits or regular benefits only. None of the demonstrations improved self-care or health or reduced...
What Every Attorney Must Know About Medicare Reporting And ...
Reporting is done electronically by RREs. Responsible reporting entities must register with CMS.8 Reporting the total payment of claim (TPOC) is required based on certain submission time frames. Reporting requires entry of at least 119 data fields out of a possible 255, including the...
MISSOURI MEDICAID PROVIDER ENROLLMENT INFORMATION GUIDE ...
FQHC RECORD KEEPING REQUIREMENTS
Health Center records must be sufficient to allow completion and audit of the Medicare FFHC
(HCFA 242) cost report and supplemental Missouri FQHC reporting forms. The supplemental Missouri forms include an income statement, a summary of MO HealthNet, Medicare and total charges by program, and a statistical schedule of MO HealthNet, Medicare and total...
Date: 2018-01-29 18:03:54
Employee Assistance Professionals Association ...
ABOUT THE EA PROFESSION AND EAPA
Question: What is employee assistance?
Answer: Employee Assistance Programs (EAPs) serve organizations and their employees in multiple ways, ranging from consultation at the strategic level about issues with organization-wide implications to individual assistance to employees and family members experiencing personal difficulties. As workplace programs, the...
Appeals and Grievances Process - Medicare
Your Medicare Advantage health plan must follow strict rules for how they identify, track, resolve and report all appeals and grievances.
Who can file an Appeal?
An appeal may be filed by any of the following:
You may file an appeal.
Someone else may file the appeal for you on your behalf. You may appoint an individual to act as your representative to file the appeal for you by following...
Date: 2018-03-23 22:15:06
Bipartisan Budget Act of 2018: Major Impacts on Health Care
After a brief federal government shutdown overnight, Congress passed and the President signed into law the Bipartisan Budget Act of 2018 on February 9, 2018. The Senate voted 71-28 and the House voted 240-186 to approve the legislation. This major legislation provides for a two-year budget agreement that increases the budget caps, resulting in approximately $300 billion in additional federal...
Claims - LWCC
Easy Ways to Report Claims
LWCC gives you several quick, easy ways to report claims. We will take care of meeting filing requirements and deadlines with state or federal agencies on your behalf. You may no longer submit a report of a workplace injury or illness through the Louisiana Workforce Commission's Office of Workers' Compensation Administration. Claims must be filed directly through your...
2018 Reporting & Disclosure Calendar for - Segal Consulting
ITEM & DESCRIPTION
Application for RDS & Attestation of Actuarial Equivalence -- 42 USC §1395w-132 & PHSA Reg. §423.884
RDS is available to group health plans that have retiree drug coverage that is actuarially equivalent to Medicare Part D coverage. Subsidy is available for each retiree (or spouse or dependent) who is eligible for but not enrolled in Part D. Application and attestation must...
The Affordable Care Act's Payment and Delivery System ...
The Affordable Care Act included many payment reform provisions aimed at promoting the development and spread of innovative payment methods to facilitate the adoption of effective care delivery models. The earliest of the ACA's provisions related to provider reimbursement have slowed growth in fee-for-service payment levels. The intention was to provide some budget relief, particularly for the...
Bill Text - SB-863 Workers’ compensation. - California
Existing law establishes a workers' compensation system, administered by the Administrative Director of the Division of Workers' Compensation, to compensate an employee for injuries sustained in the course of his or her employment.
(1) Existing law establishes certain requirements relating to qualified medical evaluators who perform the evaluation of medical-legal issues.
This bill would modify...
Some Doctors Still Billing Medicare for the Most ...
ProPublica found that 1,825 health professionals, including Roberts, billed Medicare for the most expensive type of office visits for established patients at least 90 percent of the time in 2015. That was almost the same as the 1,807 that we found based on 2012 data. Some physicians that were billing Medicare this way in 2012 still were in 2015, we found.
Look up how your doctor bills for...