Medicaid Tips on Immunizations and Pharmacy
MO HealthNet recently posted two tips for providers on immunizations and pharmacy dispensing fees. The department's Hot Tips can be...
CMS Proposes Changes to Medicare Physician Fee Schedule
On July 13, CMS issued a proposed rule to update payment policies and rates for services under the Medicare Physician Fee Schedule in...
MORx Assistance Ends June 30 for Medicare-Only Patients
Eligibility requirements will change at the end of June for the MORx program, which pays for 50% of eligible low-income seniors'...
HCPCS Code Update for Preventative Services
CMS has released an update that CPT code 76706 will replace HCPCS code G0389 for dates of service on or after January 1, 2017. Section...
2017 Updates to RHC Medicare Policies
CMS has updated the Medicare Benefit Policy Manual chapter on Rural Health Clinics to reflect changes in requirements and payment...
Payment Rate Increases for Rural Health Clinics in 2017
The Medicare RHC per-visit upper payment limit for calendar year 2017 is $82.30, effective January 1 through December 31. The calendar...
HCPCS Reporting Requirements
In April 2016, CMS instructed RHCs to hold claims only for a billable visit shown in red on the Rural Health Clinic Qualifying Visit List...
ICD-10 Grace Period Ends Oct. 1
ICD-10 went live October 1, 2015. CMS gave providers a one-year grace period for ICD-10 coded claims, saying they would not deny claims...
Latest News on Medicare Claims Delays
CMS recently announced that it asked all Medicare Administrative Contractors to hold RHC Medicare claims submitted on or after April 1,...
Update on CMS Claims Processing Problem
CMS has announced that due to significant problems processing claims under the Fiscal Intermediary Standard System (FISS), formerly known...
