Articles, tagged with "centers for medicare and medicaid", page 5

Can Medicare Take My Money?

Physicians, providers and suppliers providing services under Part A of Medicare, who have been subject to Medicare audits or claim denials resulting in overpayment demands, are aware that, currently if a Medicare fiscal intermediary identifies an alleged ... Read >
Author: Wachler & Associates

Recovery Audit Contractors and Medicare Audits: Successful Strategies for Defending Audits

I. INTRODUCTION Attention radiology providers and suppliers: Get ready for increased Medicare auditing activity. The Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program has been made permanent and is expanding natio... Read >
Author: Wachler & Associates

HCPCS Codes: All That You Need to Know

HCPCS Codes, Healthcare Common Procedure Coding System numbers, are the medical codes used by Medicare. The HCPCS is monitored by CMS, the Centers for Medicare and Medicaid Services. Developed by the AMA or the American Medical Association, the codes are ... Read >
Author: Nancy

Does Your Practice Qualify as a Group Practice Under Federal Stark Law

The Federal Stark law prohibits physicians from referring Medicare/Medicaid beneficiaries to an entity in which they (or an immediate family member) have a financial relationship for designated health services ("DHS"), unless an exception applies. DHS inc... Read >
Author: Wachler & Associates

New Stark Rules – Yet More Arrangements to be Restructured

On August 19, 2008, the Centers for Medicare and Medicaid Services ("CMS") published final Stark rules in its 2009 Final Hospital Inpatient Prospective Payment Systems rule ("Final Rule"). The Final Rule contains several important revisions to the Stark r... Read >
Author: Wachler & Associates

Medicare’s Anti-Markup Rule-Partially Delayed Until 2009

On December 28, 2007, the Centers for Medicare and Medicaid Services (CMS) displayed a final rule announcing that it was delaying the effective date of the majority of the newly revised anti-markup rule until January 1, 2009. CMS' announcement came just a... Read >
Author: Wachler & Associates

The 2009 Medicare Physician Fee Schedule – Medicare’s Anti-Markup Rule and IDTF Enrollment Requi

In recent years, diagnostic imaging services have been intensively scrutinized by the federal government. This article will summarize some of the more significant recent federal regulatory changes included in the 2009 Medicare Final Physician Fee Schedule... Read >
Author: Wachler & Associates

Medicare: What is it?

Medicare is a social insurance program administered by the United States government. It is set up as a single payer health care system which means that all service providers such as doctors, labs, hospitals, therapists etc, get paid from one central fun... Read >
Author: Empowering Information

Does Your State Accept Medicaid for Assisted Living Facilities?

Before individual state governments passed much-needed legislation, many assisted living facilities were only private pay situations. Fortunately, for many older Americans facing housing dilemmas, Medicaid waiver programs have taken up much of the slack t... Read >
Author: Jill Gilbert

The Federal Medicare Insurance Benefits

The Medicare program is one of the health insurance programs of the federal government for the elderly and disabled. It is administered by the Centers for Medicare and Medicaid Services (CMS). Under the law, the program provides benefits for the follo... Read >
Author: Mesriani Law Group

Medicare Facts Past And Present

Basic Facts Of The Medicare Program President Johnson In 1965 enacted Medicare for seniors to have the opportunity to obtain affordable healthcare. There have been many improvements over the years. The Centers for Medicare and Medicaid Services... Read >
Author: Mr King

Medicare Part D | Medicare Part D FAQs

By Leslie Pepper You've likely heard about Part D, Medicare's new coverage for prescription drugs. Of course, that doesn't mean you understand it. Here, we answer your frequently asked questions. Who is eligible for Part D? Anyone with Medicare-tha... Read >
Author: REMEDY Magazine

Are You Eligible for Medicaid?

When you reach the age of 65 or become disabled, you are eligible for Medicare, but when are you eligible for Medicaid? Medicaid eligibility, unlike Medicare's, is not automatic. Medicaid is a government funded health insurance program like Medicare. T... Read >
Author: Barry Waxler

Are You Eligible for Medicare?

As a person nears retirement age, they begin to wonder if they are eligible for Medicare. Many people do not realize that they may even be eligible for Medicare before the age of 65. Medicare is the largest health insurance plan in the United States. I... Read >
Author: Barry Waxler

State Funded Child Health Insurance

There is no need to stress how important healthcare is for children. To add to this, in the US, there is no federal or state blanket medical coverage for children. Parents usually get coverage for their children's health by their individual or hob-base... Read >
Author: AdamHeist

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