Tag Archives: Medicare claims

June 30th Deadline to e-Prescribe to Avoid Medicare Adjustment Penalty

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June 30, 2012 is the deadline for submitting ten (10) Part B Fee for Service (FFS) claims to Medicare to avoid the 2013 Adjustment (penalty) of 1.5% against 2013 reimbursements.

Exception: if a provider submitted 25 e-prescribing events successfully in 2011, they have already met the reporting requirement to avoid the 2013 penalty. Otherwise, this upcoming June 30, 2012 deadline will apply. If you’ve started e-prescribing and are continuing to do so, do not stop at just 10 for this year to avoid the reduced reimbursement for 2013. This should be continually noted on all Medicare claims regardless to avoid any future penalties into the coming years as they will continue to require this as there will be a 2% reduction for year 2014 as well.

What To Charge When Medicare is a Secondary Payer

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The advent of more entrepreneurial opportunities for physicians will cause them to wonder how to deal with Medicare patients when Medicare is the secondary payer. For instance, physicians treating Medicare patients under a Letter of Protection (LOP) need to know how to deal with the Medicare secondary payer issue.
The Department of Health and Human Services, back in 1996, issued a memorandum addressing the issues comprehensively. The memo is available on our website (www.floridahealthcarelawfirm.com), and the only piece of information missing is the requirement that Medicare claims be submitted within twelve (12) months from the date of service.