Machelle Giordon, Credentialing Specialist  

Medicare Effective Date

     All Medicare physicians, providers, and suppliers, as well as those who are considering applying to participate in the program should be aware of the new rule and of upcoming changes to the Medicare enrollment process…..

     Carriers and Part A and Part B Medicare Administrative Contractors will establish the effective date of Medicare billing privileges for physicians, certain non-physician practitioner, and practitioner organizations.  For example, physicians, non-physician practitioners and physicians and non-physicians practitioner organizations will NO LONGER be allowed to establish retrospective Medicare effective billing dates.

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OFFICE TIPS

Be more productive at work! 

• Keep a “computer” or box.  Place items to be entered and tasks to do into the file/box.
• Keep a “computer” or box.  Place items to be entered and tasks to do into the file/box.

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EVENT SCHEDULE

OSMA

6/23/09

EHR University Demo-All Scripts-Webinar

6/24/09

Physicians Documentation of E&M

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Pat O'Sullivan, President

Is Your Practice Prepared for RACs and Audits????

   Health Care, particularly hospitals are gearing up for Medicare’s Recovery Audit Contractor (RAC) program.  We have been warned for over two years by Medicare newsletters and seminars, publications and even newspapers, exploding with stories of the findings and the Medicare dollars recovered. 

  Third party insurers are jumping on the bandwagon and requesting records, performing audits and hiring contractors or collection agencies asking for refunds from physician practices.  Who is asking for the information?  What are they requesting?  How do they go about demanding the refunds? How can we be prepared for these challenges which are certain to drain   resources of the practice? 

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