The fiscal intermediary
for approximately one-third (36 percent) of hospices in the sample was Blue Cross South Carolina, followed by Blue Cross Iowa (16 percent), and Blue Cross California (16 percent).
Keywords: Medicare, carrier, fiscal intermediary
, medical necessity, correct coding, medically unlikely edits
Because Medicaid considers its beneficiaries employers of their personal care assistants, the fiscal intermediary
program took care of tax and payroll paperwork for its Medicaid clients, some of whom had more than one personal care assistant, Mr.
Based on past experience, it is likely that each fiscal intermediary
will devise their own policy for handling medical justification.
The analysis includes data from 36 fiscal intermediary
and 48 carrier policy sets.
Janice Caldwell, the federal agency's associate regional administrator, said her office has yet to ask Blue Cross of California - the hospital's fiscal intermediary
- to review those claims.
It is anticipated that many--perhaps most--Medicaid clients who are assigned to the treatment group and receive cash payments will choose to access the services of a fiscal intermediary
to withhold and pay taxes for the home care workers they hire.
Laboratory managers need access to the 1993 clinical laboratory fee schedule, available from their carrier or fiscal intermediary
, to determine whether the fees listed for the gap-filled codes are realistic.
Tenders are invited for federal funds to provide the following services: hopwa housing, benefits administration, fiscal intermediary
, fiscal monitoring, food bank and home-delivered meals, medical nutrition therapy, health education and risk reduction (treatment adherence), and housing/ emergency financial assistance to people living with hiv/aids
In such cases, additional documentation that satisfies the local fiscal intermediary
must be provided.
This effort should make assistance available to providers to help them interpret and comply with all new laws, regulations, program memoranda, instructions to regional offices, and fiscal intermediary
and carrier manual instructions related to billing, coding, cost reporting, and documentation.
Whether the specific issue surrounds dealing with the new Medicare Recovery Audit Contractor review program, Medicare administrative contractors, fiscal intermediary
issues, additional documentation requests, an OIG audit, or, Heaven forbid, a Medicaid Fraud Unit review, you have a lot on your compliance plate today.