April 2013 Quarterly System Release – Claim Hold On April Fool’s Day, the first day federal payment cuts resulting from Congress’ failure to reach a budget compromise went into effect, CMS announced that the changes it made to its claims paying system rendered that system unable to properly process home health claims. It will […]

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  CMS announced the first three participants in a program designed to help consumers get more information regarding their local doctors, hospitals, and other health care providers. The Medicare Data Sharing for Performance Measurement program, made possible by the Affordable Care Act, will make Medicare claims data available, under strict privacy requirements, to groups that […]

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  Medicare contractor CGS, which provides home health and hospice claims processing services in 17 states and the District of Columbia, has identified two computer errors that have been incorrectly rejecting certain claims for all Medicare contractors. The author provides an explanation of the errors drawn from the CGS web site, followed by specific information […]

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