Issue: SPECIAL EDITION 
June 2012


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SPECIAL BILLING EDITION!
Major changes are coming our way from multiple payers over the Summer as CMS, BCBS, Amerigroup and many others keep changing the billing rules to hold on to your money as long as possible.  Our SWAT, Support and Management Teams as well as Your Practice Management Coaches have been working together to ensure your practice complies with the new regulations.  We have prepared summaries of the changes and list specific remedy steps we must take together to minimize the expected damage. Please review the articles listed below and ask your Practice Management Coach, if you have any questions.  
PAYER CHANGES THAT AFFECT YOU!

Medicare Reimbursements Are at Risk

We recently identified practices that CMS is requiring revalidation of your NPI and Tax ID credentialing directly with CMS.... 

 

HealthPlus Amerigroup Payment Changes 

We have been notified that HealthPlus Amerigroup has changed their Timely Filing Limits.  The change was effective on May 1st, 2012...  

  

CMS Re-Jurisdiction Takes Effect in July!

We have been notified by the Center for Medicare & Medicaid Services (CMS) that the Medicare Administrative Contractor (MAC) for Part A and Part B Indiana and Michigan (referred to as Jurisdiction 8) will be changing to Wisconsin Physicians Service Insurance Corporation (WPS) in July, 2012... 

 

How to Avoid Common Version 5010 Claims Rejections 

The deadline for the Version 5010 upgrade was January 1, 2012, and the enforcement discretion period for all HIPAA-covered entities to complete their upgrade to the Version 5010 electronic standards ends on June 30, 2012...

CIGNA STOPS PAYING!
We have been notified that Cigna is changing their Timely Filing limits. Beginning on August 1, 2012... 

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