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Are You Ready for Noridian – Your New Medicare MAC?

The Centers for Medicare & Medicare Services (CMS) first announced in September 2012 that Noridian Healthcare Solutions has been named the new Medicare Administrative Contractor (MAC) for Medicare Parts A and B in California, Nevada and Hawaii, as well as the U.S. territories of American Samoa, Guam and the Northern Mariana Islands (Jurisdiction E, previously called Jurisdiction Read more

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When is a “New Patient” Considered “NEW”?

In 2012, the American Medical Association (AMA) revised its definition of a “New Patient” in its Current Procedural Terminology (CPT®) book. However, CPT®’s definition of a new patient did not mean Medicare would necessarily follow suit. Indeed, this change did not have any impact on Medicare Part B claims. CPT® defines a new patient as: Read more

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Cal MediConnect – California’s Duals Demonstration

“Dual Eligible Beneficiaries” are seniors and people with disabilities who are dually eligible for both of the public and health insurance programs. Both the state Medi-Cal program and the federal Medicare program are partnering to launch a 3-year demonstration to promote coordinated health care delivery to these dual eligible beneficiaries. The program will be called Read more

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Getting Ready for 2014 eHealth Milestones

Centers for Medicare & Medicaid Services (CMS) is advising providers and groups to start planning and getting ready for 2014 deadlines affecting electronic health record (EHR) programs. Some of the major deadlines are as follows: January 1: Administrative simplification operating rules for electronic funds transfers (EFT) and remittance advice. Stage 2 for eligible professionals (EPs) Read more

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Social Coupons For Medical Services Violate State Law

According to the most recent legal opinion of the Legal Division of the California State Department of Consumer Affairs (DCA), online marketing discount contracts for medical services violate state law. Internet marketing companies, such as Groupon and Living Social, contract with businesses to promote discounted products and services. These companies determine the customers to whom Read more

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Live Without Regrets!

I am curious about a lot of things. Online gaming is not one of them. One day, late in the evening hours, while looking through some of the topics on TED Talks, my eyes caught a glimpse of a heading that had the word “Game” in it. This time I make an exception and decide Read more

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