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2017 Medigap Plans

Posted by on Mar 9, 2016 in Medigap Plans | 0 comments

Information On 2017 Medigap Plans Reforms have been made by policymakers with regards to medicare insurance (Medigap) and have been looking to seek the appropriate date to launch the changes. These changes are going to come during 2017 to ensure the coverage is in place as required legally. Let’s assess what the 2017 Medigap plans are all about and what they are going to entail for policyholders. It is important to understand the nuances at play prior to making a decision as to how beneficial the plans will be and the value they bring into...

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Posted notice in the Federal Register on February 16 by the CMS

Posted by on Feb 25, 2016 in Medicare News, News | 0 comments

A notice was posted in the Federal Register on February 16 by the CMS. This stated that is comments about CMS-484 Attending Physicians’ Certification, Medical Necessity for Home Oxygen Therapy as well as supporting Regulations, MAC Durable Equipment Medicare Administrative Contractors, regional Carrier and Certificate of Medical Necessity and Supporting Documentation, Rate Increase Disclosure and Notices, as well as Record keeping Requirements all due by April 19, th.

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No Documentation and Identifying medical denials for flagged claims for Recovery and Auditor Reviews

Posted by on Feb 17, 2016 in Medicare News | 0 comments

CMS has withdrawn Transmittal 1483 which was dated Mrch 31, 2015. They replaced this with Transmittal 1625. This is to make it consistent with the direction given to CR 9215. More specifically this updates BR 8913.2. All additional info remains the same. Originally allowance provided a Recovery Audit specific, no documentation reason “code” for the MAC’s to attach to a prepayment claim denial.

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Partial fix for Medicare Part B, Congress suggests a fee Increase

Posted by on Feb 10, 2016 in Medicare News, News | 0 comments

Less and less time available for Congress to stop a 52% percent premium increase. This will affect about 30 percent of the enrollees next year for Medicare Part B. A sprawling 2 year budget deal is included as a partial fix. Suspending the debt limit according to a house source until March 17. Some are reporting a tentative budget deal. Part B participants facing a increase would pay about 14 percent more next year rather than 52 percent of the premium. A $3.00 per month premium surcharge would be paid over five years as a...

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