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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/Open Payments RegistrationOpen Payments ‘Review and Dispute’ – What Physicians Should Know<p>The Open Payments Review period has begun. As of April 1, 2017, physicians can review and dispute their 2016 data during a 45-day review period before it is made public.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicare/CLFSReportingCMS Delays Enforcement of Data Reporting for Clinical Laboratory Fee Schedule Until May 30 <p>The Centers for Medicare and Medicaid Services announced a 60-day delay of enforcement regarding data reporting under the Medicare Clinical Laboratory Fee Schedule. Enforcement will be delayed through May 30, 2017.<br></p><p> </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/CMS885RFormUse Latest Version of Medicare Form CMS-855R to Avoid Claims Processing Delays<p>​Effective Jan. 1, 2017, physicians and non-physician practitioners must use the revised 4/16 version of the Medicare CMS-885R (Reassignment of Benefits) application. Novitas Solutions will no longer accept the 11/12 version of the application.</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/EDISignatureNovitas Updates Signature Requirements for EDI Forms Effective Sept. 1, 2016<p>​As of Sept. 1, 2016, forms submitted through the Novitas Solutions Electronic Data Interchange (EDI) will 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/DiabetesPreventionProgramCMS Proposes Expansion of Diabetes Prevention Program<p>​The Centers for Medicare and Medicaid Services proposed 2017 Physician Fee Schedule includes a recommendation to expand the current Diabetes Prevention Program. What are some of the highlights of the proposal? <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/2016MedicarePremiums2016 Medicare Premiums and Deductibles Announced by CMS<p>​​​The 2016 Medicare Parts A and B premiums and deductibles were announced by CMS on Nov. 10, 2015.</p>
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>