Posts Tagged ‘Provider’

Approximately 8,000 students and credentialed health care professionals will get the financial backing they need for training by the end of 2010. Read more »

Providers submitting claims to Cigna: Make sure to read the private payer’s latest Professional Claims Code Editing and Documentation Requirements Guidelines. Effective April 27, the company now requires supporting documentation for some claims containing modifiers 25 and 59.

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The Centers for Medicare & Medicaid Services (CMS) has made an important change to its Internet-based Provider Enrollment, Chain and Ownership System (PECOS) that will free up a lot of time for physicians and non-physician practitioners (NPPs). Read more »

Very soon you won’t be able to make inquiries to the Centers for Medicare & Medicaid Services’ (CMS) interactive voice response (IVR) system or a customer service representative (CSR) without some very specific information.

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The U.S. Department of Health and Human Services (HHS) issued a final rule Dec. 18, 2008 to ensure HHS funds do not support morally coercive or discriminatory practices or policies in violation of federal law. Read more »

The 2008 Medicare Contractor Provider Satisfaction Survey (MCPSS) indicates that Medicare health care providers continue to be moderately satisfied with services provided by Medicare fee-for-service (FFS) contractors.

On a scale of 1 to 6 (6 being completely satisfied), providers say overall contractor performance measures up to a 4.51 satisfaction level, according to the MCPSS survey. In 2007, the average score for overall contractor performance was 4.56, according to a report released by the Centers for Medicare & Medicaid Services (CMS). Carriers and Part B Medicare Administrative Contractors (MACs) received an average score of 4.35—somewhat lower than their counterparts. Read more »