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Legislative and Regulatory Alerts HBMA Healthcare Billing and Management Association

Government News - Legislative and Regulatory Alerts

Time sensitive healthcare billing related issues

This area is for HBMA members only


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05/10/2012 - Regulatory Alert: Medicare Enrollment
05/07/2012 - CMS Announcement - May 7, 2012
04/11/2012 - Claim Hold Announcement from CMS
04/06/2012 - CMS Update to HBMA Membership
CMS Webinar recording from 4/5/12 - FREE for HBMA members!
04/02/2012 - CMS reports results of 2010 Medicare Physician Quality Reporting System and Electronic Prescribing (eRx) Incentive Program
Data show gains in reporting quality measures and in program participation rates
03/15/2012 - CMS Extends Enforcement Discretion for 5010
03/02/2012 - Denial for Advanced Diagnostic Imaging Services
03/02/2012 - 5010 Electronic Claims Submission 496 Edit
03/02/2012 - Crossover Claims Rejecting Due to Unnecessary Billing of Discharge Date

 

03/02/2012 - HIPAA 5010 Claims Translation Issues Affecting Medicare Crossover Claims - Error Codes H51108, H20203, and H45255
02/17/2012 - SGR Update - 2/17/12
The House and Senate have both voted to approve legislation preventing the scheduled 27.4% SGR related cut from taking effect on March 1.  The legislation goes to the President who has indicated that he will sign the bill.  
02/16/2012 - SGR Update - 2/16/12

House and Senate negotiators have reached an agreement on temporarily fixing the SGR problem and making other changes in the Medicare program.  Below is a summary of the health-related provisions included in the agreement. 

We wanted you to have this information but want to appropriately caution you that this is subject to change and there is not guarantee that this will be agreed to by the full House or Senate.

02/10/2012 - One Electronic Remittance Advice Recipient per NPI
CMS has announced that in order to accurately produce electronic remittance advices to match the EFT/check amount, MCS will be changing their logic effective Sun Apr 1, 2012 - and will no longer consider the sender information when creating the ERA files. 
02/10/2012 - CMS amends the Not-Otherwise-Classified (NOC) code set
Medicare Fee-for-Service (FFS) has amended the Not-Otherwise-Classified (NOC) code set listing effective Mon Jan 16, 2012.
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