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.
The analysis includes data from 36 fiscal intermediary
and 48 carrier policy sets.
If, however, a laboratory bills code 80058, the hepatic panel that consists of five automated tests, and also bills another automated code, such as 80007, the carrier or fiscal intermediary
has been instructed by HCFA to regroup the billed codes and price based on the total number of automatable tests.
Creating or conducting effective training and education is therefore critical to ensuring that your compliance plan will be viewed as effective in the eyes of the OIG, the Health Care Financing Administration (HCFA) and the Fiscal Intermediary
We must have documentation to support, and accuracy to survive Fiscal Intermediary
Reviews, surveys, PLUS achieve accurate RUG levels and care planning.
4 /PRNewswire/ -- The Centers for Medicare & Medicaid Services (CMS) announced Tuesday that Highmark Medicare Services will serve as the Medicare Part A fiscal intermediary
for the state of Maryland and the District of Columbia.
I called the MDS coordinators and the Fiscal Intermediary
, all of whom said "follow the guidelines.
As a result, DHCS is working through the Medi-Cal fiscal intermediary
(FI) to make the necessary claims processing changes to lift the ten percent payment reduction for payments for prescription drugs.
TrailBlazer has the second largest market share of the 33 companies that hold Medicare fiscal intermediary
and carrier contracts with CMS.
For example, is a failure in Medicare reimbursement the fault of the Health Care Financing Administration (HCFA), the software provider, the phone company, the Fiscal Intermediary
or maybe even the United States Postal Service?