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The Fiscal Cliff Bill Signed 1-2-13

American Taxpayer Relief Act of 2012 Signed by President Obama Medical providers are relieved that the 27% reduction in the Medicare Physician Fee Schedule (MPFS) will not go into effect January 1,...

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PQRS reporting in 2013 effects provider payments in 2015

Many medical providers have not begun preparing for Medicare’s Physician Quality Report System (PQRS) reporting in 2013. Any provider who does not meet the minimum reporting requirements for PQRS in...

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Medical Claim Follow up

If your office is not following up on all claims to make sure they are paid correctly and in a timely manner you may be missing out on thousands of dollars per year. Most practices that have signed up...

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Mandatory Payment Reductions for Medicare due to Sequestration

Due to the Budget Control Act of 2011 and President Obama’s issuance of a sequestration order on March 1, 2013, CMS (Centers for Medicare & Medicaid Services) has announced that there will be...

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Medicare Therapy Cap/Threshold policy 2013

Medicare has announced that the therapy cap amounts for 2013 will be $1,900.00 for Occupational Therapy (OT) and a separate $1,900.00 cap for Physical Therapy (PT) and Speech Language Therapy (SLP)...

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Manual Medical Review of Outpatient Therapy Claims Effective April 1, 2013

Medicare is implementing manual medical review of all outpatient therapy claims that exceed the $3,700.00 threshold effective April 1, 2013 in 11 states, FL, CA, MI, TX, NY, LA, IL, PA, OH, NC and MO....

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Medicare, Sequestration and MPPR

The first Medicare EOB’s for services performed in April 2013 are just now being sent and what they show is a major reduction in pay for physical medicine codes. Physical therapists and occupational...

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Blue Shield to share CalPERS HMO contract

Superior Medical Billing Solutions provides expert ICD-10 electronic transaction billing services and support to Temecula Valley medical practices with limited office personnel and to larger practices...

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Noridian to become the new Medicare MAC for Jurisdiction 1

Noridian has announced that they will become the new Medicare Administrative Contractor (MAC) for Jurisdiction E (JE), formerly Jurisdiction 1 (J1). This change covers providers in California, Hawaii,...

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ICD-10 end to end testing with CMS – 2015

Superior Medical Billing Solutions is pleased to announce that we were chosen as one of 800 entities to complete ICD-10 end to end testing with CMS in January 2015. This gave us the ability to submit...

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