Monthly Archives: January 2012

CMS to Apply Surety Bonds to Recoup Payments, OIG L0631 Acquisition “Survey”

Late last year The Centers for Medicare and Medicaid Services (CMS) announced changes to the Medicare Overpayment Notification Process.  Under the new process, Medicare will send just one notice of overpayment information to providers; previously, CMS sent three notices of overpayment to providers … Continue reading

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PDAC Labeling Requirement Rescinded

The Medicare Pricing, Data Analysis and Coding (PDAC) contractor released the following information relating to their recent “Product Labeling and Product Sample Requirements for Coding Verification” program that was revised on December 19th, 2011.  They have chosen to rescind the … Continue reading

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Recapping The State of the Union: Orthotics and Prosthetics Edition

President Obama gave an hour long State of the Union address last night, but found time for just one sentence focused on the Affordable Care Act, or health care in general.  The President chose instead to focus on other domestic issues such as … Continue reading

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Future of Medicaid tied to Supreme Court Decisions in 2012

The United States Supreme Court will hear two separate cases in 2012 that will have a dramatic impact on what is required of individual states, and the level of autonomy each state will have to make their own decisions relative to future enrollment, benefit coverages and … Continue reading

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5010 Implementation FAQ’s

The following are frequently asked questions and answers that were provided by CMS.gov on the 5010 implementation deadline and the 90 grace period that was announced in November 2011. Frequently Asked Questions regarding deadlines for ASC X12 Version 5010 1. Q: … Continue reading

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Coding Updates for Articulating Digits, Prosthetic Hands

The Centers for Medicare and Medicaid Services recently released two new codes as part of their annual 2012 HCPCS release.  Below is information from CGS on the two new codes that became effective on January 1, 2012, as well as information relating … Continue reading

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