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05/20/2010

Hold off on resubmitting claims affected by recent Medicare payment changes to the physician fee schedule. Any resubmitted claim already paid under the old conversion factor will be denied as a duplicate claim - and will ultimately be a waste of your time.

05/20/2010

You will also earn Physician Quality Reporting Initiative (PQRI) bonuses from some Medicare Advantage (MA) plans when you qualified to earn a bonus from traditional Medicare fee-for-service, CMS officials say. By now you should have received bonuses from certain MA plans for successfully submitting quality data during previous PQRI reporting years (PBN 12/15/08).

05/20/2010

Your Medicare payments would be stabilized for the next several years under a plan put forth by Congressional Democrats that delays sustainable growth rate (SGR) cuts to Medicare until 2014. The provision - in The American Jobs and Closing Tax Loopholes Act of 2010, H.R. 4213 - contains "reasonable updates in physician payment rates" for the rest of this year and 2011. Rates also would increase in 2012 and 2013, but then would be subject to the SGR in 2014, according to a summary of the bill.

05/20/2010

You and your peers are pressed to act quickly after a recent Federal Register rule moved up the deadline to July 6, 2010 from Jan. 3, 2011 to get your physicians into CMS's Provider Enrollment Chain Ownership System (PECOS) (PBN 5/10/10). A special CMS open door call on enrollment issues held May 19 may add to the confusion you're already feeling about compliance.

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