Information for psychiatrists who serve patients through Medicare, the federal health insurance program for the elderly and disabled; and Medicaid, the federally supported state-run health insurance programs for the poor. Medicare and Medicaid Explained 2009 Medicare News from HSF
CMS Notices: CMS proposed changes to policies and payment rates for physicians' services to Medicare beneficiaries to be furnished during calendar year (CY 2010) posted 7/1/2009 Scam Alert targeting physician offices posted 6/18/2009 Fact Sheet: CMS Form 1500 At a Glance [pdf document] The CMS Form 1500 Web-based tutorial can be accessed by clicking on the following link http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=1 Posted 04/16/2009: Letter from CMS’s National Correct Coding Initiative (CCI) re inappropriate use of the Advance Beneficiary Notice (ABN) for claims denials based on CCI Medically Unlikely Edits (MUEs) rather than medical necessity.
Posted 04/15/09: New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6139.pdf
Posted 02/20/2009: Internet-based Medicare Enrollment Tips for Enrolling in Medicare Posted 11/03/2008: Announcement: About Medicare Participation for Calendar year 2009 Posted 9/17/2008: Reporting Responsibilities for Individual Physicians Enrolled in the Medicare Program
Reporting Responsibilities for Physician Group Practices Enrolled in the Medicare Program