Independence Blue Cross and Abington Health have are collaborating on an initiative that could transform the reimbursement landscape of southeast Pennsylvania Earlier this spring, Abington Health, a two-hospital integrated health system based in Abington, just north...
Explore the Latest Resources from the Medbill Team
Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
Reimbursement
NAHC Participates in Call with CMS on Phase II PECOS Edits
The National Association for Home Care & Hospice participated in a conference call with the Centers for Medicare & Medicaid Services on April 3, 2013 to discuss Phase II of the PECOS edit activation. During the call, NAHC reported on the information collected...
Court Ruling Opens Door for Providers to Seek Reimbursement for Medicare Bad Debts
Providers may be reimbursed for Medicare beneficiaries' bad debts even after sending them to a collection agency, a U.S. District Court judge has ruled. At issue was the question of whether bad debts for Medicare beneficiaries, usually related to copayments and...
NV Medicare Patients Told to Find New Insurance Provider
Hundreds of Medicare recipients in Southern Nevada have been forced to change insurance carriers after their provider was liquidated amid fraud allegations. Universal Health Care Insurance Co., which had about 1,800 customers in Clark County, was placed into...
NC Governor wants Medicaid Patients in Managed Care Plans
RALEIGH — Gov. Pat McCrory wants to overhaul the state’s Medicaid program by having managed care companies offer health care plans for poor children, the elderly and the disabled. McCrory said Wednesday that the change would benefit health care providers, patients and...
California Tests New Model for Medicare-Medicaid Enrollees
On March 27, 2013, the Department of Health and Human Services announced that the State of California will partner with the Centers for Medicare & Medicaid Services (CMS) to test a new model for providing Medicare-Medicaid enrollees with a more coordinated,...
U.S. to Raise Medicare Advantage Payment Rate
In a reversal that followed intense lobbying from the health insurance industry and members of Congress, the U.S. government said it will increase the payment rate for health insurers that offer coverage through the popular Medicare Advantage program. The Centers for...
Triangle Area DME Providers – Time to Ask for MPP Support
ATTENTION TRIANGLE AREA PROVIDERS - Let's attend and ask Congressman Price to support the Market Pricing Program - legislation soon to be introduced by Dr. Tom Price (R-GA) The message below is from Congressman David Price (D-NC4)... On Monday, April 8 from 6:00 –...
100 Percent Funding for New Medicaid Beneficiaries Finalized
Health and Human Services (HHS) Secretary Kathleen Sebelius today announced a final rule with a request for comments that provides, effective January 1, 2014, the federal government will pay 100 percent of the cost of certain newly eligible adult Medicaid...
Medical Review FAQs for Power Mobility and Glucose
Medical Review FAQs - Spring 2013 Q1. Our PMD Prior Authorization (PAR) request was non-affirmed because our documentation did not include a financial attestation statement. When a portion of the face-to-face examination is performed by a licensed/certified medical...
ICD-10 Deadline Confirmed By CMS Administrator
As the dust from HIMSS13 settles, CMS would like to thank everyone who stopped by our booth to say hello and discuss the ICD-10 transition and the future of eHealth with us. In case you weren't able to get to the booth, here are some of the highlights from the...
Are You Prepared for the May 1st PECOS Edits?
After a brief announcement and retraction, CMS settled on May 1, 2013, as the day that phase two of the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) will go into effect. As of that date, CMS will deny HME, Part B, and Part A home health...