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EDI AVAILABILITY 11/08/2009 CMS MEDICARE TO NO LONGER ACCEPT CONSULT CODES BEGINNING JANUARY 1, 2010 08/28/2009 MEDICARE PART B EDI LIST LABOR DAY HOLIDAY - EDI AVAILABILITY PART B 07/09/2009 HBMA WHY MORE DOCTORS SHOULD USE NPS AND PAS -- AND WHY THEY DON'T 07/01/2009 HBMA NEWS ALERT: CMS 2010 PHYSICIAN FEE SCHEDULE 07/01/2009 MEDICARE EDI SERVICES DEPARTMENT ATTENTION ALL PART B EDI CUSTOMERS 06/19/2009 HBMA GOVERNMENT RELATIONS COMMITTEE SCAM ALERT 06/19/2009 MEDICARE EDI SERVICES DEPARTMENT AT HIGHMARK MEDIC [PARTA-OUTREACH] THE COUNTDOWN HAS BEGUN- ONE DAY TO THE FISS MERGE! 06/17/2009 MEDSCAPE BUSINESS OF MEDICINE BEST WAYS TO DEAL WITH NONCOMPLIANT PATIENTS 06/03/2009 HBMA CMS TO HOST PROVIDER EDUCATION CALL ON HIPAA VERSION 5010 - JUNE 9, 2009 05/01/2009 HBMA GOVERNMENT RELATIONS COMMITTEE FTC ANNOUNCES DELAY IN RED FLAG RULES ENFORCEMENT 05/01/2009 HBMA GOVERNMENT RELATIONS COMMITTEE RED FLAG RULES OBSERVATION FROM HBMA GENERAL COUNSEL 04/06/2009 REUTERS AMA SUES WELLPOINT OVER REIMBURSEMENTS 03/09/2009 NEW YORK STATE WORKERS' COMPENSATION BOARD WCB NEWS 03/03/2009 HBMA ENHANCEMENTS/UPDATES TO NPPES EFFECTIVE MARCH 7, 2009 02/18/2009 HBMA EHR INCENTIVE SUMMARY 02/17/2009 CMS IMPORTANT INFORMATION ABOUT MANAGING YOUR PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) EMAIL UPDATES! 02/17/2009 HBMA ECONOMIC STIMULUS - TAX 02/06/2009 CMS 2009 PHYSICIAN QUALITY REPORTING INITIATIVE NATIONAL PROVIDER QUESTION & ANSWER SESSION 02/04/2009 CMS FEBRUARY IS AMERICAN HEART MONTH 02/01/2009 CMS 2009 E-PRESCRIBING INCENTIVE PROGRAM MADE SIMPLE 01/30/2009 HBMA NEW PQRI PRODUCTS AVAILABLE 01/28/2009 CMS THE EXPANDED BENEFITS BROCHURE NOW READY TO ORDER FROM THE CMS MEDICARE LEARNING NETWORK 01/28/2009 CMS INITIAL PREVENTIVE PHYSICAL EXAMINATION (IPPE) RESOURCE NOW AVAILABLE IN A LAMINATED CHART OR TEAR OFF PAD 01/22/2009 CMS DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES (DMEPOS) ACCREDITATION DEADLINE IS SEPTEMBER 30, 2009 01/16/2009 AAPC ICD-10 IMPLEMENTATION DATE ANNOUNCED 01/16/2009 CMS CMS ISSUES THREE NATIONAL COVERAGE DETERMINATIONS TO PROTECT PATIENTS FROM PREVENTABLE SURGICAL ERRORS 01/13/2009 CMS REVISIONS TO FACT SHEETS AND BROCHURE ON MEDICARE ENROLLMENT REPORTING RESPONSIBILITIES 01/07/2009 HBMA MEDICARE NEWS 01/06/2009 CMS REVIEW OF NEGATIVE PRESSURE WOUND THERAPY (NPWT) DEVICES 01/05/2009 HBMA PECOS ONLINE 12/29/2008 HBMA INTERNET-BASED MEDICARE ENROLLMENT EXPANDED FOR MEDICARE PHYSICIANS & NON-PHYSICIAN PRACTITIONERS 12/29/2008 HBMA INTERNET-BASED MEDICARE ENROLLMENT EXPANDED FOR MEDICARE PHYSICIANS & NON-PHYSICIAN PRACTITIONERS 12/25/2008 HBMA NEW FROM THE MEDICARE LEARNING NETWORK 12/14/2008 CMS NOW AVAILABLE ONLINE: "MEDICARE'S PRACTICAL GUIDE TO THE E-PRESCRIBING INCENTIVE PROGRAM" 12/14/2008 HBMA REMINDER NOTICE: 2008 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) NATIONAL PROVIDER CALL 12/03/2008 MEDSCAPE TODAY OBAMA PICKS DASCHLE FOR HHS SECRETARY 12/02/2008 CMS REGISTRATION EXTENDED TO DECEMBER 4, 2008 FOR PHYSICIAN VALUE-BASED PURCHASING PLAN LISTENING SESSION 11/18/2008 CMS MM6258 – UPDATE TO MEDICARE DEDUCTIBLE, COINSURANCE AND PREMIUM RATES FOR 2009 11/14/2008 CMS NEW MLN MATTERS ARTICLE ON PREPARING FOR A TRANSITION FROM AN FI/CARRIER TO A MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) 11/11/2008 WEBMD OBAMA WINS: WHAT IT MEANS FOR HEALTHCARE 11/08/2008 HBMA THE 2008 ELECTION; WHAT’S NEXT 11/07/2008 CMS SPECIAL EDITION MLN MATTERS ARTICLE: 2008 - 2009 INFLUENZA (FLU) SEASON RESOURCES FOR HEALTH CARE PROFESSIONALS 11/06/2008 HBMA RECOVERY AUDIT CONTRACTOR UPDATE 10/21/2008 CMS ICD-10-CLINICAL MODIFICATION/PROCEDURE CODING SYSTEM FACT SHEET 10/16/2008 CMS NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES) - KEEPING IT SAFE AND KEEPING IT UPDATED 10/16/2008 CMS CMS ANNOUNCES RACS 10/15/2008 HBMA HHS PROPOSES MANDATED USE OF ICD-10 AND OTHER TRANSACTION CODESET STANDARDS 10/12/2008 CMS MEDICARE PUBLISHES BILLING EDITS TO REDUCE PAYMENT ERRORS 10/12/2008 HBMA A NETWORK OF PHYSICAL THERAPY CENTERS HAS AGREED TO PAY $1.89 MILLION IN A CIVIL AGREEMENT TO SETTLE ALLEGATIONS THAT IT VIOLATED THE FALSE CLAIMS ACT 10/02/2008 AAPC WATCH HOW YOU CODE FOR FACET JOINT INJECTIONS 09/28/2008 CMS BEGINNING OCTOBER 1, 2008 YOUR MEDICARE PAYMENTS COULD BE REDUCED IF THE INTERNAL REVENUE SERVICE (IRS) NEEDS TO COLLECT OVERDUE TAXES THAT YOU OWE 09/28/2008 HBMA NPPES - KEEPING IT SAFE AND KEEPING IT UPDATED 09/19/2008 CMS SEPTEMBER 21 – 27, 2008 IS NATIONAL ADULT IMMUNIZATION AWARENESS WEEK. 09/04/2008 AAPC CODING TIPS 08/23/2008 AAPC IMAGING COVERAGE DENIALS ON THE RISE 08/23/2008 AAPC DMEPOS FRAUD OUT OF CONTROL 08/23/2008 AAPC AMA OFFERS EHR GUIDANCE 08/23/2008 HEALTH IMAGING NEWS FEDERAL PANEL: STOP SCREENING MEN AT AGE 75 FOR PROSTATE CANCER 08/21/2008 CMS YOUR MEDICARE PAYMENTS COULD BE REDUCED IF THE INTERNAL REVENUE SERVICE (IRS) NEEDS TO COLLECT OVERDUE TAXES THAT YOU OWE 08/04/2008 CMS NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES) & THE NATIONAL PROVIDER IDENTIFER (NPI) REGISTRY WILL BE UNAVAILABLE ON AUGUST 10TH 08/04/2008 CMS AUGUST IS NATIONAL IMMUNIZATION AWARENESS MONTH 07/24/2008 MEDSCAPE DOES PAY-FOR-PERFORMANCE INFLUENCE THE QUALITY OF CARE? 07/22/2008 CMS SE0815 – REMINDER THAT EXCEPTIONS TO THERAPY CAPS ARE RESTRICTED AS OF JULY 1 07/19/2008 CMS CMS NEWS - NEW REPORT SHOWS CMS PILOT PROGRAM SAVING NEARLY $700 MILLION IN IMPROPER MEDICARE PAYMENTS 07/19/2008 HBMA SUMMARY OF MAJOR PROVISIONS 07/19/2008 HBMA GOVERNMENT RELATIONS COMMITTEE SUPPLEMENTAL PAYMENTS OF THE 10.6% FEE REDUCTION 07/19/2008 HBMA GOVERNMENT RELATIONS COMMITTEE LATE BREAKING NEWS FROM CMS 07/17/2008 CMS CONGRESS PASSES MEDICARE FEE FIX FOR REMAINDER OF 2008 – AND NIXES ADDITIONAL CUT FOR 2009 06/30/2008 CMS MEDICARE FEE SCHEDULE UPDATE 06/02/2008 THE DALLAS MORNING NEWS NEWS 06/02/2008 THE LOS ANGELES TIMES HEALTH INSURER TIED BONUSES TO DROPPING SICK POLICYHOLDERS 04/24/2008 CMS MAY 23RD IS ONLY 4 WEEKS AWAY - ARE YOU PREPARED? 03/20/2008 CMS NPI: IMPORTANT INFORMATION FOR MEDICARE FFS PROVIDER 03/19/2008 CMS BILL INTRODUCED TO REVERSE MEDICARE CUTS 03/07/2008 CMS WHAT TO DO IF YOUR 837P OR CMS-1500 MEDICARE CLAIM REJECTS & MORE 03/04/2008 CMS CMS PROGRAM IDENTIFIES $371.5 MILLION IN IMPROPER MEDICARE PAYMENTS IN THREE STATES 02/25/2008 CMS COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF) BILLING REQUIREMENT UPDATES FOR FY 2008 02/21/2008 CMS IMPORTANT NATIONAL PROVIDER IDENTIFIER REMINDERS FOR FEE-FOR-SERVICE MEDICARE PROVIDERS 02/05/2008 CMS ATTENTION FEE-FOR-SERVICE (FFS) MEDICARE PHYSICIANS, NON-PHYSICIAN PRACTITIONERS & OTHER SUPPLIERS! 01/24/2008 DESICION HEALTH RESOUNDING "NO": MEDICARE ANSWERS PAYMENT QUESTION FOR NEW PHONE/ONLINE CODES 01/22/2008 CMS OUTPATIENT THERAPY CAPS WITH EXCEPTIONS START JANUARY 1, 2008 01/11/2008 CMS ANOTHER UPDATE REGARDING THE NEW 2008 MEDICARE PHYSICIAN FEE SCHEDULE AMOUNTS 01/08/2008 CMS UPDATE: NEW 2008 PAYMENT RATES FOR SERVICES PAID UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE AND THE EXTENSION OF THE PARTICIPATION DECISION PERIOD 01/08/2008 HBMA GOVERNMENT RELATIONS COMMITTEE NEW 2008 PAYMENT RATES-MEDICARE PHYSICIAN FEE SCHEDULE 01/05/2008 HBMA GOVERNMENT RELATIONS COMMITTEE PQRI UPDATES 01/03/2008 CMS MM5830 UPDATE TO MEDICARE DEDUCTIBLE, COINSURANCE AND PREMIUM RATES FOR 2008 01/02/2008 CONGRESS MEDICARE 2008 RATES 12/20/2007 CMS THE NPI IS HERE. THE NPI IS NOW. ARE YOU USING IT? 12/03/2007 FROM THE ROAD BY DAVE JAKIELO DON'T TRY THIS AT HOME. WHY DOCTORS SHOULD OUTSOURCE THEIR BILLING 11/26/2007 CMS NPI: SSNS SHOULD NOT BE REPORTED IN FOIA-DISCLOSABLE NPPES FIELDS, PROPER PLACEMENT OF MEDICARE LEGACY IDS IN NPPES & MUCH MORE 11/23/2007 CMS UPDATED EXPANDED BENEFITS WEB-BASED TRAINING COURSE 11/10/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) UPDATE 11/10/2007 CMS REQUIREMENT TO UPDATE INFORMATION IN THE NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES) 11/04/2007 HBMA GOVERNMENT RELATIONS COMMITTEE NEW STEPS TO ENCOURAGE EFFICIENCY AND QUALITY FOR MEDICARE HOSPITAL OUTPATIENT SERVICES IN 2008 11/04/2007 HBMA GOVERNMENT RELATIONS COMMITTEE THE NPI IS HERE. THE NPI IS NOW. ARE YOU USING IT? 10/29/2007 DEPARTMENT OF HELTH AND HUMAN SERVICES ENTIRE OFFICE OF INSPECTOR GENERAL WORK PLAN FOR 2008 10/25/2007 CMS THE NPI IS HERE. THE NPI IS NOW. ARE YOU USING IT? 10/24/2007 AAPC GET A SNEAK PEEK AT WHAT THE OIG WILL BE UP TO IN 2008 10/24/2007 AAPC CMS REVISES 2008 PAYMENT SYSTEM FOR AMBULATORY SURGICAL CENTERS 10/16/2007 CMS 2008 MEDICARE PREMIUM & DEDUCTIBLE INFORMATION & UPDATE ON MEDICAID TAMPER PROOF PRESCRIPTIONS 10/13/2007 CMS MEDLEARN MATTERS/ NPI ISSUES 10/12/2007 CMS IMPORTANT NPI AND ENROLLMENT INFORMATION FOR PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS 10/07/2007 NY TIMES MEDICARE AUDITS SHOW PROBLEMS IN PRIVATE PLANS 10/02/2007 CMS NPI: IMPORTANT MESSAGE FOR INSTITUTIONAL PROVIDERS + PROVIDER ENROLLMENT INFORMATION 10/02/2007 CMS MASS IMMUNIZER & CENTRALIZED BILLER CLARIFICATION 10/01/2007 CMS MEDICARE PROVIDER FEEDBACK GROUP TOWN HALL MEETING 10/01/2007 CMS OCTOBER IS NATIONAL BREAST CANCER AWARENESS MONTH 09/27/2007 CMS SEPTEMBER 23 - 29, 2007 IS NATIONAL ADULT IMMUNIZATION AWARENESS WEEK 09/25/2007 CMS MEDICARE PART B DRUG COMPETITIVE ACQUISITION PROGRAM (CAP): 2008 PHYSICIAN ELECTION 09/25/2007 CMS IMPORTANT INFORMATION FOR MEDICARE PROVIDERS - NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES) & NATIONAL PROVIDER IDENTIFIER (NPI) REGISTRY UPDATE 09/20/2007 CMS TIME TO CORRECT YOUR NPI RECORDS TO PREVENT DENIED CLAIMS 09/20/2007 CMS MEDICARE PREVENTIVE SERVICES QUICK REFERENCE INFORMATION 09/20/2007 FAMILY PRACTICE MANAGEMENT PRACTICE A HALF CENTURY AGO AND NOW 09/18/2007 CMS DISCONTINUANCE OF THE UNIQUE PHYSICIAN IDENTIFICATION NUMBER (UPIN) REGISTRY 09/18/2007 MEDSCAPE BUSINESS OF MEDICINE AN EMPLOYMENT CONTRACT MODEL FOR JOINING A MEDICAL PRACTICE 09/17/2007 CMS NPI REGISTRY UNAVAILABLE PART OF TOMORROW 09/04/2007 CMS SEPTEMBER IS NATIONAL CHOLESTEROL EDUCATION MONTH! 08/31/2007 CMS POA REQUIREMENT 08/31/2007 CMS CMS PROPOSING NEW SIGNATURE REQUIREMENTS FOR MEDICARE AMBULANCE BILLING 08/31/2007 CMS CMS ISSUES FINAL RULE PROHIBITING PHYSICIAN SELF-REFERRAL 08/31/2007 CMS NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES) FOIA-DISCLOSABLE DATA TO BE AVAILABLE ON SEPTEMBER 4, 2007 08/28/2007 CMS CMS-1810-F: PHYSICIAN SELF-REFERRAL (PHASE III) ON DISPLAY AT THE FEDERAL REGISTER 08/28/2007 CMS IMPORTANT NPI UPDATE 08/17/2007 AMA PROFESSIONAL COURTESY IN THE HEALTH CARE FRAUD AND ABUSE CONTEXT 08/17/2007 DHHS WITHDRAWN A 2003 PROPOSED RULE .... 08/17/2007 FAMILY PRACTICE MANAGEMENT BREAKING EVEN ON 4 VISITS PER DAY 08/16/2007 ASSOCIATED PRESS NY AG WARNS INSURERS ON DOC RANKINGS 08/12/2007 CMS SECOND ANNUAL MEDICARE SURVEY SHOWS CONTINUED PROVIDER SATISFACTION WITH CONTRACTOR RELATIONSHIP 08/12/2007 CMS NPI: NEW DATA DISSEMINATION DATE ANNOUNCED - SEPTEMBER 4, 2007 08/10/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) UPDATE 08/04/2007 CMS CMS IS DELAYING THE DEPLOYMENT OF THE NPI REGISTRY AND THE DISSEMINATION OF FROM THE FOIA-DISCLOSABLE HEALTH CARE PROVIDER DATA NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES 08/04/2007 CMS DECOMPRESSION THERAPY FOR THE TREATMENT OF LUMBOSACRAL PAIN 08/03/2007 CMS IMPORTANT GUIDANCE ON THE NEW CMS-1500 AND UB-04 FORMS 07/27/2007 CMS CMS EXTENDS THE BID SUBMISSION, REGISTRATION, AND ACCREDITATION DEADLINES FOR THE FIRST ROUND OF THE MEDICARE DMEPOS COMPETITIVE BIDDING PROGRAM 07/24/2007 CMS DATA DISSEMINATION, NEW EDUCATIONAL PRODUCTS, GROUP PRACTICE ENUMERATION, INFORMATION FOR MEDICARE PROVIDERS AND MORE... 07/17/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) ALERT! 07/17/2007 CMS CMS REVISES PAYMENT STRUCTURE FOR AMBULATORY SURGICAL CENTERS AND PROPOSES POLICY AND PAYMENT CHANGES FOR HOSPITAL OUTPATIENT 06/29/2007 CMS THE TESTING OPPORTUNITY FOR THE 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) HAS ENDED 06/29/2007 CMS AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) SURVEY DATA UPDATED 6/29/07 06/28/2007 CMS NPI: UPDATES/CHANGES/DELETIONS MUST BE SUBMITTED TO NPPES BY JULY 16, 2007 IN ORDER TO BE REFLECTED IN INITIAL DOWNLOADABLE FILE 06/26/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) NATIONAL PROVIDER CALL - 2ND Q&A SESSION 06/25/2007 CMS CMS WEEKLY READING 06/19/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) TOOL KIT IS NOW AVAILABLE 06/18/2007 CMS PQRI UPDATE TWO WEEKS AND COUNTING 06/15/2007 CMS ENCORE - NPI DATA DISSEMINATION ROUNDTABLE 06/07/2007 CMS NATIONAL MEN'S HEALTH WEEK -- JUNE 11-17 06/07/2007 CMS NEW FREQUENTLY ASKED QUESTIONS (FAQS) ON THE 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) 06/05/2007 CMS IMPORTANT UPDATE TO NATIONAL PROVIDER IDENTIFIER (NPI) EDUCATIONAL ARTICLE 06/01/2007 CMS NEW DEADLINE FOR REQUIRED SUBMISSION OF THE FORM CMS-1500 (08-05) 06/01/2007 CMS DISCONTINUANCE OF THE UNIQUE PHYSICIAN IDENTIFICATION NUMBER (UPIN) REGISTRY 05/31/2007 CMS PROPER USE OF MODIFIER "-59" 05/28/2007 CMS PHYSICIAN QUALITY REPORTING INITIATIVE 05/28/2007 HBMA NPI AVAILABILITY 05/23/2007 CMS NPI: GET IT. 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USE IT. 05/08/2007 CMS MAY IS NATIONAL OSTEOPOROSIS AWARENESS AND PREVENTION MONTH 05/04/2007 CMS MM5072 UNIFORM BILLING (UB-04) IMPLEMENTATION UB-92 REPLACEMENT 04/30/2007 MEDSCAPE OB/GYN & WOMEN'S HEALTH UNNECESSARY TESTING IN OBSTETRICS, GYNECOLOGY, AND GENERAL MEDICINE: CAUSES AND CONSEQUENCES OF THE UNWARRANTED USE OF COSTLY AND UNSCIENTIFIC (YET PROFITABLE) SCREENING MODALITIES 04/24/2007 CMS IMPORTANT INFORMATION REGARDING NPI COMPLIANCE CONTINGENCY GUIDANCE 04/11/2007 CMS NPI ROUNDTABLE REMINDER & NEW FAQS 03/30/2007 CMS CMS-3835-F, HOSPITAL CONDITIONS OF PARTICIPATION: REQUIREMENTS FOR APPROVAL AND RE-APPROVAL OF TRANSPLANT CENTERS TO PERFORM ORGAN TRANSPLANTS 03/30/2007 CMS DON'T FORGET TO FOLLOW-UP! 03/29/2007 CMS EXTENSION FOR ACCEPTANCE OF FORM CMS-1500 (12-90) 03/27/2007 CMS INTERESTED IN SEEING HOW WELL YOUR COUNTY OR STATE HAS DONE IN PROVIDING COLORECTAL CANCER SCREENING TO PEOPLE WITH MEDICARE? 03/22/2007 CMS ARE YOU AND YOUR STAFF READY? 03/21/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI) NATIONAL PROVIDER CALL 03/19/2007 BILL FINERFROCK NPI UPDATE 03/19/2007 CMS MARCH IS NATIONAL COLORECTAL CANCER AWARENESS MONTH 03/18/2007 WASHINGTON REPORT CUTS PROPOSED, CUTS DISPOSED? 03/09/2007 CMS IMPORTANT MEDICARE NOTICE REGARDING THE REVISED FORM CMS-1500 02/28/2007 CMSPROVIDERRESOURCE MARCH IS NATIONAL NUTRITION MONTHR 02/27/2007 UNITED HEALTHCARE UNITED HEALTHCARE OUT OF NETWORK PAYMENTS TO GO TO PATIENT IN 2007 02/23/2007 CMS CMS REQUESTS PUBLIC COMMENT ON THE REVISED ADVANCE BENEFICIARY NOTICE (ABN) 02/16/2007 CMS 2007 PHYSICIAN QUALITY REPORTING INITIATIVE WEBPAGE IS NOW AVAILABLE 02/02/2007 CMS MEDICARE PHYSICIAN FEE SCHEDULE FACT SHEET 01/26/2007 DEPARTMENT OF BANKING HEALTH BENEFIT PLANS MINIMUM STANDARDS FOR NETWORK-BASED HEALTH BENEFIT PLANS BASIS FOR PAYMENT OF OUT-OF-NETWORK NON-HOSPITAL PROVIDER CLAIMS 01/23/2007 EZ PROCESSING, LLC HAPPY NEW YEAR FROM EZ PROCESSING, LLC 01/23/2007 HBMA MEDICARE PAYMENT ADVISORY COMMISSION REPORT ON SUSTAINABLE GROWTH RATE 01/23/2007 NJSSA THE DOBI REGULATION ADDRESSING OUT-OF-NETWORK FEES 01/19/2007 JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE THE INFLUENCE OF RACE AND GENDER ON FAMILY PHYSICIANS' ANNUAL INCOMES 01/01/2007 CMS 2007 PHYSICIAN FEE SCHEDULE PAYMENT POLICIES 01/01/2007 CMS EMERGENCY UPDATE TO THE 2007 MEDICARE PHYSICIAN FEE SCHEDULE DATABASE (MPFSDB 12/29/2006 FAMILY PRACTICE MANAGEMENT GET READY FOR THE REVISED CMS-1500 CLAIM FORM 12/22/2006 HBMA MEDICARE PAYMENT UPDATE 12/20/2006 EMPIRE MEDICARE SERVICES IMPORTANT MEDICARE NEWS - EMPIRE MEDICARE SERVICES TO BECOME NATIONAL GOVERNMENT SERVICES EFFECTIVE JANUARY 1, 2007 12/11/2006 HBMA BIG NEWS FROM HBMA 12/09/2006 HBMA MEDICARE FEE SCHEDULE UPDATE 12/08/2006 CMS OUTPATIENT THERAPY CAP EXCEPTIONS CLARIFICATIONS 11/17/2006 CMS JUST 6 MONTHS REMAINING 11/17/2006 NEWS PRIMARY CARE PHYSICIANS: A VANISHING SPECIES OR A PROFESSION REINVENTED? 11/15/2006 CMS THE GREAT AMERICAN SMOKEOUT 11/12/2006 CMS DECEMBER 13, 2006: MEDICARE COVERAGE ADVISORY COMMITTEE MEETING ON CLINICAL TRIAL POLICY 11/11/2006 HBMA ELECTION ANALYSIS PART I 11/09/2006 CMSPROVIDERRESOURCE SOCIAL SECURITY ADMINISTRATION ELECTRONIC RECORDS EXPRESS "EMBRACING TECHNOLOGY TO DELIVER BENEFITS" 11/07/2006 CMS PLEASE SHARE THE FOLLOWING MESSAGE WITH YOUR MEDICARE FEE-FOR-SERVICE PROVIDERS. 11/06/2006 MARKETWATCH MCKESSON TO PAY $28 A SHARE FOR PER-SE 11/03/2006 CMS MEDICARE ANNOUNCES FINAL RULE SETTING PHYSICIAN PAYMENT RATES AND POLICIES FOR 2007 11/03/2006 CMS PLEASE SHARE THE FOLLOWING MESSAGE WITH YOUR MEDICARE FEE-FOR-SERVICE PROVIDERS. 11/03/2006 CMS UNIFORM BILLING (UB-04) IMPLEMENTATION – UB-92 REPLACEMENT 11/03/2006 FAMILY MEDICINE PRACTICE DIARY MEDSCAPE FAMILY MEDICINE 11/02/2006 CMS NOVEMBER IS AMERICAN DIABETES MONTH 11/02/2006 CMS MEDICARE ANNOUNCES FINAL RULE SETTING PHYSICIAN PAYMENT RATES AND POLICIES FOR 2007 11/02/2006 OIG FIRST HALF OF FISCAL YEAR 2006 BRINGS IN $1 BILLION IN RECOVERIES 11/01/2006 CMS TO THE AMBULATORY SURGICAL CENTER COVERED PROCEDURES LIST; MEDICARE ADMINISTRATIVE CONTRACTORS; AND REPORTING HOSPITAL QUALITY DATA FOR FY 2008 INPATIENT 10/30/2006 HBMA CAPITOL ASSOCIATES BILL FINERFROCK AND PAIGE BAGBY 10/30/2006 HBMA CAPITOL ASSOCIATES NPI UPDATE 10/30/2006 HBMA CAPITOL ASSOCIATES MEDICARE PART B MONTHLY RATES FOR CALENDAR YEAR 2007 10/30/2006 HBMA CAPITOL ASSOCIATES CMS COMPETES ADDITIONAL MEDICARE ADMINISTRATIVE CONTRACTORS 10/30/2006 HBMA CAPITOL ASSOCIATES THAT'S QUITE A RAC 10/30/2006 HBMA CAPITOL ASSOCIATES MEDICARE CONTINUES TO REDUCE IMPROPER CLAIMS PAYMENTS 10/30/2006 HBMA CAPITOL ASSOCIATES NEW NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY TAKES OFFICE 10/30/2006 HBMA CAPITOL ASSOCIATES EMPLOYER-SPONSORED COVERAGE DECLINES, REPORTS FIND 10/30/2006 HBMA CAPITOL ASSOCIATES BANK ERROR IN YOUR FAVOR 10/17/2006 CMS MEDICARE & YOU 2007 HANDBOOK NOW AVAILABLE ONLINE 10/17/2006 CMS MEDICARE PROPOSES TO IMPROVE CARE THROUGH LEARNING FROM PRESCRIPTION DRUG DATA 10/17/2006 CMS STUDY: DOCTOR ERRORS LARGEST CAUSE OF MALPRACTICE CLAIMS 09/28/2006 CMS MESSAGE TO MEDICARE PROVIDERS, BILLERS, CLEARINGHOUSES, AND VENDORS 09/28/2006 HOUSE ENERGY AND COMMERCE COMMITTEE HOW CONGRESS MAY CORRECT THE FORMULA THAT SETS MEDICARE'S PHYSICIAN PAYMENT RATES. 09/27/2006 CMS AVAILABILITY OF MEDICARE PREVENTIVE SERVICES MATERIALS FOR PROVIDERS 09/27/2006 CMS REPORTING OF TAXONOMY CODES TO IDENTIFY PROVIDER SUBPARTS ON INSTITUTIONAL CLAIMS 09/22/2006 CMS UPDATE ON POSSIBLE CUT IN MEDICARE PHYSICIAN PAYMENTS 09/15/2006 CMS ADDITIONAL REQUIREMENTS NECESSARY TO IMPLEMENT THE REVISED HEALTH INSURANCE CLAIM FORM CMS-1500 09/15/2006 CMS GETTING AN NPI IS FREE - NOT HAVING ONE CAN BE COSTLY. 09/12/2006 CMS 2007 PREMIUM INCREASE SMALLER THAN EXPECTED 09/06/2006 CMSPROVIDERRESOURCE DEFICIT REDUCTION ACT OF 2005 - 9-DAY PAYMENT HOLD -- REMINDER 08/30/2006 CMS PREVENTIVE SERVICES WEB-BASED TRAINING COURSES 08/16/2006 UNITED STATES COURT OF APPEALS U.S. DISTRICT COURT OF APPEALS FINDS BCBS DIRECT PAYMENT TO PATIENTS VIOLATES ASSIGNMENT OF BENEFITS LAW 08/12/2006 AMA RESUBMIT AETNA CLAIMS FOR EKG 12-LEAD SERVICE (CPT 93010) WHEN BILLED WITH AN ER E&M SERVICE (CPT 99281-99285) 08/10/2006 CMS CMS PROPOSES POLICY, PAYMENT CHANGES FOR PHYSICIANS' SERVICES IN 2007 08/07/2006 CQ HEALTHBEAT BILL WOULD DELAY MEDICARE REIMBURSEMENT CUTS 08/04/2006 CMS CMS AWARDS FIRST OF 15 CONTRACTS TO PROCESS AND PAY MEDICARE PART A AND PART B CLAIMS 08/04/2006 CMS THE SCOPE OF WORK AND SPECIALTY ACTIVITIES THAT CMS WILL INCLUDE IN THE NEXT MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) PROCUREMENTS 08/04/2006 CMS ANNOUNCEMENT FROM CMS 08/04/2006 CMS ANNOUNCEMENT FROM CMS 07/18/2006 REUTERS HEALTH MOST FREQUENT EMERGENCY DEPARTMENT USERS HAVE INSURANCE 07/03/2006 CMS DEFICIT REDUCTION ACT OF 2005 - 9-DAY PAYMENT HOLD 06/27/2006 CMS PHYSICAL THERAPY PAYMENTS SHOULD BE REVISED, ADVISORY GROUP RECOMMENDS 06/24/2006 CMS CMS ANNOUNCES PROPOSED CHANGES TO PHYSICIAN FEE SCHEDULE METHODOLOGY SUBSTANTIAL INCREASES IN PAYMENTS FOR TIME SPENT WITH PATIENTS 06/22/2006 CMS COUNTDOWN BEGINS - GET YOUR NPI! 06/19/2006 APTA OIG FINDS IMPROPER PHYSICAL THERAPY BILLING BY PHYSICIANS COSTS MEDICARE MILLIONS 06/19/2006 OIG USE OF MODIFIER 59 AND 25 06/14/2006 CMS CHANGES CONFORMING TO CHANGE REQUEST 3648 (CR3648) FOR THERAPY SERVICES 06/06/2006 CMS NPI TIP 06/01/2006 CMS ARE YOU RECEIVING AN ELECTRONIC REMITTANCE ADVICE (ERA)? HAVE YOU TRIED MEDICARE REMIT EASY PRINT (MREP) SOFTWARE? 05/25/2006 CMS COUNTDOWN BEGINS - GET YOUR NPI! 05/23/2006 CMS DO YOU HAVE YOUR NPI? 04/28/2006 CMS MEDICARE PROVIDER ENROLLMENT UPDATE 03/31/2006 CMS MM4293 - REVISED CMS-1500 CLAIM FORM 03/26/2006 CMS THE OFFICE OF THE INSPECTOR GENERAL (OIG) HAS SENT MARCHING ORDERS TO MEDICARE CARRIERS TO START REVIEWING CLAIMS WITH MODIFIERS -25 AND -59 03/24/2006 GAO GAO REPORT IDENTIFIES MEDICARE INFORMATION SECURITY PROBLEMS 03/20/2006 REUTERS US MEDICARE TO ENROLL 1.2 MILLION MORE FOR DRUG PLAN 03/17/2006 CMS CMS TO INVESTIGATE AGGRESSIVE HMO MARKETING 03/16/2006 CMS CMS TO INVESTIGATE AGGRESSIVE HMO MARKETING 03/03/2006 EMPIRE MEDICARE NEW VERSION OF THE 1500 HEALTH INSURANCE CLAIM FORM (VERSION 08/05) 02/01/2006 LEGISLATIVE NEWS BREAKING NEWS ABOUT DEFICIT REDUCTION ACT OF 2005. 01/12/2006 ASSOCIATION OF NEW JERSEY CHIROPRACTORS N.J. REVAMPS UTILIZATION MANAGEMENT PROCEDURES 01/11/2006 MEDSCAPE PAY FOR PERFORMANCE: THE NEXT BEST THING 01/10/2006 MEDSCAPE PHYSICIANS IN RETAINER ("CONCIERGE") PRACTICE 01/09/2006 NEWS FROM NJ SENATE DEMOCRATS LEGISLATURE APPROVES PAIR OF BILLS TO CLARIFY HEALTH INSURANCE REIMBURSEMENT RULES AND RATES FOR DOCTORS 01/01/2006 CMS PAYMENT PROVISIONS IN THE TRADITIONAL MEDICARE PROGRAM THAT MAY BE DELAYED BY THE DEFICIT REDUCTION ACT 12/21/2005 REUTERS HEALTH MEDICARE BENEFICIARIES MAY DO BETTER WITH NON-PROFIT PLANS 11/03/2005 THE OHIO STATE UNIVERSITY MEDICAL CENTER OSU MEDICAL CENTER ADMITS PUTTING PRIVATE INFORMATION OVER 'NET 10/21/2005 CMS ICD-10-CLINICAL MODIFICATION/PROCEDURE CODING SYSTEM FACT SHEET 09/30/2005 FAMILY PRACTICE MANAGEMENT EDITORIAL TEN HARD QUESTIONS ABOUT THE FUTURE OF THE SPECIALTY 09/28/2005 FAMILY PRACTICE MANAGEMENT CODING "ROUTINE" OFFICE VISITS 09/28/2005 MEDSCAPE PAY-FOR-PERFORMANCE HAS QUALITY-IMPROVEMENT POTENTIAL, AAFP SAYS 09/23/2005 FAMILY PRACTICE MANAGEMENT ICD-9 CHANGES: IT'S TIME TO TEND TO YOUR SUPERBILL 09/12/2005 HHS FREE EHR SOFTWARE RELEASE DELAYED INDEFINITELY 09/09/2005 GOVT HEALTH IT FREE EHR SOFTWARE IS ON HOLD 09/08/2005 CMS PROPOSED '06 FEE SCHEDULE CONTAINS EXPECTED PAY CUT 09/06/2005 CMS FIRST NATIONAL IMPLEMENTATION OF THE MEDICARE CONTRACTOR PROVIDER SATISFACTION SURVEY (MCPSS) IN JANUARY 2006. 09/02/2005 CHICAGO TRIBUNE NEW ORLEANS HEALTH WORKERS UNDER SIEGE 09/01/2005 CMS REFERRAL OF PATIENTS FOR X-RAYS BY CHIROPRACTORS 08/29/2005 U.S. BUSINESS NEWS NDCHEALTH TO BE ACQUIRED FOR $700 MILLION 08/24/2005 HBMA GENERAL CMS ISSUES UPDATED REGULATIONS FOR POWER WHEELCHAIR AND POWER OPERATED VEHICLE CLAIMS 08/23/2005 AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY NATIONAL BILLING CODES ANNOUNCED FOR PHARMACISTS' CLINICAL SERVICES 08/22/2005 CMS PROVIDERRESOURCE ORDER YOUR POSTERS NOW WHILE SUPPLIES LAST! 08/09/2005 MIAMI HERALD GIANT FLORIDA AUTO RETAILER SUES UNITEDHEALTH 08/08/2005 CINCINNATI BUSINESS COURIER CINCINNATI PHYSICIANS IRKED WITH HUMANA ANTITRUST SETTLEMEN 08/05/2005 HARTFORD COURANT PROFITS CLIMB 29 PERCENT AT HEALTH NET 08/04/2005 CMS CMS ENDING CONTINGENCY FOR NON-HIPAA-COMPLIANT MEDICARE CLAIMS 08/03/2005 AP/BOSTON GLOBE CIGNA POSTS HIGHER SECOND-QUARTER PROFIT 07/28/2005 BLOOMBERG.COM AETNA'S SECOND-QUARTER PROFIT RISES AS ENROLLMENT INCREASES 07/27/2005 ASSOCIATED PRESS BILL FOR REPORTING MEDICAL ERRORS CLEARS CONGRESS 07/21/2005 NEW YORK TIMES U.S. WILL OFFER DOCTORS FREE ELECTRONIC RECORDS SYSTEM 07/14/2005 HARTFORD COURANT ANALYST FORESEES ACQUISITION IN AETNA'S FUTURE 07/12/2005 WASHINGTON POST WELLPOINT AGREES TO PAY DOCTORS $198 MILLION 07/11/2005 DEPARTMENT OF HEALTH AND HUMAN SERVICES REVIEW OF SERVICES ORDERED BY CHIROPRACTORS AND PERFORMED BY GARFIELD 06/17/2005 MEDSCAPE PT" - HOW MANY MEANINGS? 06/16/2005 ASSOCIATED PRESS CLINTON, FRIST TOUT MEDICAL RECORDS BILL 06/01/2005 AMNEWS HOUSE, SENATE MEASURES PROPOSE 2.7% INCREASE IN MEDICARE PAY 05/31/2005 CHICAGO TRIBUNE CHICAGO DOCTOR SETTLES WHISTLE-BLOWER SUIT OVER BILLING 05/30/2005 AMNEWS HEALTH NET, PRUDENTIAL SETTLE PHYSICIAN LAWSUITS 05/06/2005 CMS NATIONAL PROVIDER IDENTIFIER ACTIVITIES BEGIN IN 2005 04/13/2005 AMNEWS MEDICAL RECORDS SECURITY: HIPAA'S 3RD DEADLINE NOT A CHARM 03/31/2005 AMNEWS DOCTORS WARY OF MEDICARE AUDIT PLAN'S INCENTIVES 03/30/2005 CENTERS FOR MEDICARE & MEDICAID SERVICES MEDLEARN MATTERS' INFORMATION FOR MEDICARE PROVIDERS 03/11/2005 AMNEWS PHYSICIAN, AUDIT THYSELF: IT'S WORTH THE EXPENSE 03/08/2005 CMS NEW APPEAL RULE 03/03/2005 HARTFORD COURANT CIGNA'S HANWAY GETTING A PAY HIKE 03/01/2005 CMS IMPLEMENTING A NEW MEDICARE CLAIMS APPEALS PROCESS 02/01/2005 HBMA MEDICARE BEGINS PERFORMANCE-BASED PAYMENTS 01/31/2005 NEW YORK TIMES BUSH VOWS TO BACK DIGITAL HEALTH RECORDS 01/30/2005 OPHTHALMOLOGY MANAGEMENT USE LEGAL PRECEDENT TO FIGHT PAYER TAKE-BACKS 01/10/2005 AMNEWS NEW JERSEY DOCTORS SUE INSURER OVER FORCED PAYBACK 01/10/2005 BUSINESS JOURNAL OF THE GREATER TRIAD AREA FEDERAL LAW ON ASSOCIATION HEALTH PLANS LIKELY IN 2005 01/07/2005 MIAMI HERALD FLORIDA DOCTOR FILES SUIT AGAINST AETNA 01/03/2005 CMS FRAUD RED ALERT 12/15/2004 NEW YORK TIMES PRESIDENT BUSH NOMINATES NEW HHS SECRETARY 12/15/2004 REUTERS MEDICARE BOOSTS PAYMENTS FOR DOCTORS, HOSPITALS 12/06/2004 USA TODAY THOMPSON DECLARES HIS INDEPENDENCE 11/11/2004 MMA' DRUG ADMINISTRATION CODING CHANGES AND REIMBU WHEN TO USE PROLONGED PHYSICIAN SERVICES 11/04/2004 UNITED STATES ATTORNEY'S OFFICE WOMAN PLEADS GUILTY TO IMPERSONATING FEDERAL OFFICER 10/18/2004 AMNEWS TIGHTENING THE LEASH: MANAGED CARE HASSLE FACTORS GETTING BIGGER 08/09/2004 AMNEWS PRACTICES REPORTED LOWER ACTUAL PAYMENT RATES THAN THOSE CONTRACTED FOR NINE OF THE 10 COMMON CPT CODES EXAMINED 04/18/2004 NEW YORK TIMES THE END OF PRIMARY CARE 03/31/2004 DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG ALERTS PHYSICIANS ABOUT ADDED CHARGES FOR COVERED SERVICES 03/31/2004 OFFICE OF INSPECTOR GENERAL OIG ALERTS PHYSICIANS ABOUT ADDED CHARGES FOR COVERED SERVICES 05/01/2002 CHARLES I. ARTZ, ESQ., LAW FIRM CHARLES I. ARTZ & PROVIDER MISIDENTIFICATION CAN BE COSTLY