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https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/Home:Tools You Can Use:Topics:Insurers:Medicare<span><p>Stay up-to-date on the latest Medicare news; read analysis from our experts on a variety of topics, such as provisions in rules that affect you and your practice; and find answers to your most frequently asked Medicare questions.</p></span>

 

 

https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/LabFeeRatesFinal 2018 Clinical Laboratory Fee Schedule Rates Are Now Available<p>​The Centers for Medicare and Medicaid Services has released the 2018 clinical laboratory fee schedule rates. Here's what you need to know.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/MedicarePremiums2018 Medicare Premiums and Deductibles Announced by CMS<p>​​​The 2018 Medicare Parts A and B premiums and deductibles were announced by CMS on Nov. 17, 2017.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/MedicarePFS20182018 Medicare Physician Fee Schedule Is Final – Here’s What Physicians Should Know <p>Here’s a look at 11 noteworthy provisions of the 2018 Medicare Physician Fee Schedule.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/SSNRemovalNew Medicare Cards Arriving in 2018…Here’s How Physicians and Practices Can Prepare<p>​The Centers for Medicare and Medicaid Services (CMS) will be removing Social Security Numbers from Medicare cards. CMS will begin mailing new Medicare cards April 2018, and all new cards will be issued no later than April 2019. Here's what physicians need to know.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/FluVaccineCodeNew Medicare Flu Vaccine Code – Here’s How to Submit Claims <p>A new influenza virus vaccine code will be payable by Medicare effective for claims processed with dates of service on or after Jan. 1, 2018. If you're using the new vaccine product already, find out how to submit claims in 2017.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/MedicareTPEAuditHow CMS Is Overhauling Medicare Audits and What Physicians Should Know<p>​All Medicare Administrative Contractors (MACs) will be adopting a new Medicare claims review process called “Targeted Probe and Educate” (TPE). Here's an overview of how the process works.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/PartBCrossoverClaimsCMS Identifies Medicare Part B Crossover Claims Issue Tied to Error Code H31312<p>​The Centers for Medicare and Medicaid Services has announced that, since July 6, 2017, there has been a problem with 837 professional coordination of benefits/Medicare crossover claims in which Medicare is the secondary payer. </p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/HepBscreeningChanges to Medicare Coverage of Hepatitis B Screening: What Physicians Should Know <p>Medicare now covers screening for Hepatitis B Virus (HBV) infection, effective for services on or after Sept. 28, 2016. Practices should be aware that Medicare coinsurance and the Part B deductible are waived for this preventive service.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/OpenPaymentsRegistration2016 Open Payments Data Released to the Public – Here’s What You Should Know<p>Open Payments Program data for 2016 was released to the public on June 30, 2017. Here's how to access the data and, if necessary, dispute any data published during the 2017 calendar year.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/ABNFormRevised Medicare Advance Beneficiary Notice of Noncoverage (ABN) Form Takes Effect June 21 <p>​The Fee for Service Advance Beneficiary Notice of Noncoverage form – known as Form CMS-R-131 – has been revised. Physicians, suppliers, labs, and other practitioners are required to begin using the new ABN form no later than June 21, 2017.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/PFS20172017 Medicare Physician Fee Schedule Improves Reimbursement for Chronic Care Management<p>​On Nov. 2, 2016, CMS released the 2017 Medicare Physician Fee Schedule final rule. Here are some highlights of the rule.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/EDISignatureReminder: Novitas Requires Authorized Official Signature on EDI Forms <p>​As of Sept. 1, 2016, forms submitted through the Novitas Solutions Electronic Data Interchange (EDI) require a signature from the authorized official or delegated official listed on the Medicare enrollment application.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/NovitasEDIDialUpNovitas Solutions Eliminating Dial-Up Connectivity for Its Electronic Data Interchange<p>​Novitas Solutions' Electronic Data Interchange (EDI) will no longer support dial-up connectivity, effective Oct. 24, 2016.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/ProposedPFS2017What Does the Proposed 2017 Medicare Physician Fee Schedule Mean for Physicians?<p>​The Centers for Medicare and Medicaid Services released its proposed 2017 Physician Fee Schedule. Learn more about some of the key provisions of the proposal.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/MedicarePaymentData2014What Did Medicare Pay Physicians in 2014? CMS Releases Utilization and Payment Data <p class="MsoNormal"><span lang="EN">On May 5, 2016, the Centers for Medicare and Medicaid (CMS) released Physician and Other Supplier Utilization and Payment public use data for the 2014 calendar year. The dataset includes details for more than 986,000 health care providers who received $91 billion in Medicare payments. </span></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/AutomatedClaimsCorrectionsNovitasAutomated Claims Corrections Option Coming Soon from Novitas Solutions<p>​Novitas Solutions has announced that it will provide the option for Part B telephone claims reopening requests through its Interactive Voice Response (IVR) system</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/ReportingOverpaymentsMedicareCMS Clarifies Reporting and Returning of Self-Identified Overpayments Requirement for Medicare Parts A and B<p>The Centers for Medicare and Medicaid Services published a final rule on Feb. 12, 2016, regarding Medicare reporting and returning of self-identified overpayments. The rule establishes a six-year lookback period governing the reporting and returning of overpayments.​</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/DiabetesQualityMeasureCMS Issues Guidance for Reporting the Diabetes: Hemoglobin A1c Quality Measure for 2015 Program Year<p>CMS has provided Eligible Professionals with guidance on the quality measure CMS122 (Diabetes: Hemoglobin A1c Poor Control) due to an error found in the logic. Find out how this may affect you.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/SiteNeutralityBill“Site Neutral” Medicare Payment Reform Affects Certain Outpatient Departments<p>​​​​​​​​​​​A “site-neutral” Medicare payment reform was included in the Bipartisan Budget Act of 2015 signed into law on Nov. 2, 2015. The spending cut affects many new off-campus hospital outpatient departments.</p>Physicians;#
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/PartDPrescriberEnrollmentWhat Medicare Part D Prescribers Need to Know about Enrolling in Medicare<p>Physicians and other eligible professionals (EPs) who prescribe Part D drugs are now required to be enrolled in Medicare in an approved status, per a Centers for Medicare and Medicaid Services (CMS) final rule issued in May 2015. Find out how to enroll and check the status of your application.</p>