Join CMS on Aug 19, 2010 from 2p-3:30p ET for an update on DOTPA, the “Developing Outpatient Therapy Payment Alternatives” program. The conference call is intended for all providers of Medicare Part B outpatient rehabilitation therapy. CMS is now actively seeking providers to participate as data collection sites. This Special ODF is intended for...
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All MA organizations (MAOs) that are effective before 1/1/2009 must submit a QIP and CCIP to CMS using their standard submission templates. The templates can be found here: http://optimalsolutionsgroup.com/CMS/index.html Questions can be answered by the CMS contractor: EMAIL: maqro@optimalsolutionsgroup.com PHONE: 866-962-6826 CMS has extended the data submission deadline to Aug 27, 2010. This is...
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Wednesday Barack Obama appointed Dr. Donald Berwick as the Administrator to the Centers of Medicare and Medicaid Services using a recess appointment. Dr. Berwick is a Harvard professor and a patient care specialist. He would be able to serve in his role though next year without Senate approval. Currently there are no hearings scheduled...
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CMS has posted an update their 2010 MA Part C and Cost Plan Technical Reporting Specifications. The update contains clarifications to commonly asked questions from plans. Part C reporting is a compliance requirement and plans that fail to submit data on time and in good fail will receive a compliance letter and notification. The...
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A key change included in the health reform legislation of 2010 was a change to the payment methodology for Medicare Advantage plans. As of today, CMS has not released their policy or the methodology for applying the STARs rating to payment adjustments but the legislation does provide some insights in to the overall approach....
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CMS has planned a major overhaul of their MARx system impacting enrollment file layouts and changes to TRR processing in April 2011. Here is a run down of the changes: IMPACTED SYSTEM / INTERFACE DESCRIPTION FROM TO Enroll Disenroll File Combining transaction codes 60, 61, 62 and 71 in to a single transaction code...
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Dynamic Healthcare Systems, a provider of enterprise technology solutions for Medicare-focused health plans, today announced that VIVA Health, Inc., a managed care company with over 32,000 Medicare Advantage members, purchased the Voyager suite including the following modules: Sales/Marketing, Enrollment, Reconciliation, HCC Analytics, RAPS Management and Premium Billing. Dynamic Healthcare Systems is designed to...
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On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.” This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010. The Centers for Medicare & Medicaid...
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