Performant Recovery, Recovery Auditor for Region A that encompasses Connecticut, Delaware, District of Columbia, Maryland, New Jersey, New York, and Pennsylvania, has announced they will conduct automated reviews on Medicare beneficiaries who are simultaneously receiving home health services reimbursed under a home health agency plan of care and outpatient therapy services provided by a hospital outpatient department or a private practice. The audit will impact hospital outpatient departments in Connecticut, Delaware, District of Columbia, Maryland, New Jersey, New York, and Pennsylvania as well as private practices in Connecticut and New York. Issues for Part B providers that are approved for

At its August 1, 2013 meeting in Chicago, The National Uniform Claim Committee (NUCC) approved a transition timeline for the version 02/12 1500 Health Insurance Claim Form (1500 Claim Form).  In June, the NUCC announced the approval of the updated 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3. The transition timeline for the revised 1500-claim form is as follows:

Wisconsin Physician Services (WPS), Medicare Administrative Contractor for the states of Indiana, Illinois, Kansas, Michigan, Missouri, and Nebraska, will be hosting a webinar on October 22, 2013 from 12:00pm – 1:00PM ET (11:00am – 12:00pm CT) on the Advance Beneficiary Notice of Noncoverage (ABN). Topics will include information on when the ABN is required, completing the ABN, and much more. To sign up for the webinar, click HERE and sign in or create a new user account if new. This is the site WPS is using for registration and is not affiliated with Gawenda Seminars & Consulting, Inc.