NCCI Edits and Reading the CMS Fee Schedule

Medicare Advantage Audits

In response, the Texas Medical Association has developed free CME to help member physicians prepare for such audits.

Humana PreAuth and Auth Links

For information on how to submit a preauthorization for frequently requested services/procedures for your patients with Humana follow the links below.

Your Patient’s MBI may change!

Over 47,000 Medicare Beneficiaries may been involved in a Data Breach that involved Personally Identifiable Information (PII)  and/or Protected Health Information (PHI).

New Medicare Cards with a new Medicare Beneficiary Identifier (MBI) are being mailed out. 

Ask Your Patients, If They Have A New Medicare Insurance Card!!

THE END IS NEAR

What’s Next for Telehealth?

Big Changes, End of PHE

Medicare vs Inflation

As part of a broader push for Medicare payment reform, the Texas Medical Association, along with the American Medical Association and 133 national specialty and state medical associations, recently called on Congress to index Medicare physician payments to inflation.

Who ya’ gonna call?

HAVING ISSUES WITH MEDICARE CALLS?

Who do you call? A source from MGMA shared this information.

They suggest you file a complaint and email CMS leadership. Because complaints go to “low-level” administrative staff whose entire goal is to close them.

Create a complaint letter detailing your experience. Email it to CMS Administrator Chiquita Brooks-LaSure Administrator and CC to the relevant CMS leadership as follows:

CMS Administrator: Chiquita Brooks-LaSure [email protected]

Deputy Chief Operating Officer: Karen Jackson [email protected] 

Director Office of Program Operations & Local Engagement: Nancy O’Connor [email protected]

Deputy Administrator and Director Center for Medicare: Meena Seshamani, M.D., PhD  [email protected] 

Deputy Administrator & Director Center for Medicare & Medicaid Innovation: Elizabeth Fowler  [email protected]  

Deputy Administrator and Director Center for Consumer Information & Insurance Oversight: Dr. Ellen Montz [email protected]

Deputy Director: Cheri Rice [email protected] 

Heat Relief, Cooling Centers

Do you have Cigna MA Patients, that need relief from this Summer Heat?

Cigna MA is offering it’s customers transportation to “Cooling Centers” or other public locations that provide Air Conditioning (i.e. Library or Senior Center)

2% Medicare Sequester

Back to the ax!

July 1, 2022, CMS will begin sequestering the full 2% off your Medicare payment.

UHC June Policy and Protocol Updates