Blog

April 25, 2018 By DIANE DESANTIS Centers for Medicare and Medicaid Services (CMS) has begun the process of issuing new beneficiary cards (MBI) and has started mailing April 2, 2018 and will continue to April, 2019. The new cards will be mailed by geographic areas in phases. This change will GREATLY IMPACT YOUR REVENUE if… Continue Reading →

March 20, 2017 BY LEANNE WRIGHT Starting next week we need to make sure that MassHealth patients enrolled in managed care plans and have referrals are being billed with the PCP as the Referring MD provider. In the past as long as the referral number is attached, they’ve processed. Now we Also need to make… Continue Reading →

December 7, 2016 BY DIANE DESANTIS The 2015 Annual Quality and Resource Use Reports (PQRS) were released on September 26, 2016. The 2015 Annual PQRS show how physician groups and physician solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier as well as their 2017 Value… Continue Reading →

November 15, 2016 BY DIANE DESANTIS 15 Days Remaining to Submit an Informal Review for 2017 Physician Quality Reporting System Results In 2017, CMS will apply a downward payment adjustment to those who did not satisfactorily report PQRS in 2015 including: Individual eligible professionals (EPs) Comprehensive Primary Care (CPC) practice sites PQRS group practices Accountable… Continue Reading →

October 27, 2016 BY LEANNE WRIGHT Insurance Carrier Credentialing – Avoiding Some of the Pitfalls Obtaining Insurance Carrier credentialing is an essential part of any practitioner’s preparation to begin work anyplace in the United States. As foreign as it may seem to some, you must have acknowledgement from carriers that they know who you are,… Continue Reading →

August 20, 2015 By DIANE DESANTIS After 35 years in the business of medical practice administration, I still do not understand why clinicians have so much difficulty understanding insurance carrier credentialing. Everyone in the world knows that the money from a medical service insurance claim comes from an insurance company. How does the insurance company… Continue Reading →

July 15, 2015 BY LOLLIE WEEKS Get over 30 years expertise in medical coding & billing, staff training and practice management consulting and save. Sign a one-year contract with NEARM, New England’s leading billing agency and get a discounted 6% service fee on our first year service fee. This special offer is good through February… Continue Reading →

June 10, 2015 BY DIANE DESANTIS If you did not participate in PQRS in 2013 there is a 1.5% penalty being withheld on each of your claims in 2015. If you did not participate in PQRS in 2014 there will be another 2% penalty withheld on all of your 2016 claims. If you do not… Continue Reading →

June 2, 2015 BY DIANE DESANTIS Have you received a letter from Centers for Medicare and Medicaid Services (CMS) requesting immediate response for revalidation? Both Medicare and Medicaid programs are now requiring that physicians be revalidated every 2-3 years. Who in your office has the time and expertise to complete these forms? Who has the… Continue Reading →

May 26, 2015 BY DIANE DESANTIS Would you like a free copy of our “12 Ways Doctors Throw Money Down the Drain”? Or would you prefer a free accounts receivable analysis? There is no use me trying to tell you all about NEARM’s services – I was not meant to be a copywriter, I simply… Continue Reading →