The Centers for Medicare & Medicaid Services (CMS) has posted a listing of providers who have been sent a request to revalidate their Medicare enrollment information. The listing contains the name and national provider identifier (NPI) of each provider sent a letter, as well as the date the letter was sent.
Video: Heartland Could be Removed from Medicare list of Providers Saturday
What to Look for In Your Medicare Provider
Information about the Medicare provider: Patients should check the plans of each Medicare provider in detail. The points for comparing the different Medicare providers are:- the amount of premium to be paid, the drugs covered under the drug plans, the procedure for claims and the hospitals and doctors covered under the plans. Although the premium to be paid is an important factor for deciding on a Medicare provider, other factors are equally essential for knowing the quality of their service and how well the service provider can cater to the needs of the patient.
Now Available Online: List of Providers Sent a Revalidation Request
[...] In response to provider requests, CMS has posted a listing of providers who have been sent a request to revalidate their Medicare enrollment information. The listing contains the name and national provider identifier (NPI) of each provider sent a letter, as well as the date the letter was sent. To see the listing, click on “Revalidation Phase 1 Listing” in the Downloads section of the Medicare Provider Supplier Enrollment Revalidation Page. NOTE: You must widen each column in the spreadsheet to view the contents. CMS will be updating this list monthly. If you are listed, and have not received the request, please contact your Medicare contractor. Their toll free number may be found at Medicare Fee-For-Service Contact Information. For more information on revalidation of Medicare provider enrollment, see MLN article 1126, Further Details on the Revalidation of Provider Enrollment Information.Source: somersetblogs.com [...]
Medicare Provider Revalidation List Now Online
In response to provider requests, CMS has posted a listing of providers who have been sent a request to revalidate their Medicare enrollment information. The listing contains the name and national provider identifier (NPI) of each provider sent a letter, as well as the date the letter was sent. To see the listing, click on “Revalidation Phase 1 Listing” in the Downloads section of the Medicare Provider Supplier Enrollment Revalidation Page. NOTE: You must widen each column in the spreadsheet to view the contents. CMS will be updating this list monthly. If you are listed, and have not received the request, please contact your Medicare contractor. Their toll free number may be found at Medicare Fee-For-Service Contact Information. For more information on revalidation of Medicare provider enrollment, see MLN article 1126, Further Details on the Revalidation of Provider Enrollment Information. Source: somersetblogs.com
Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare speciality code full list
Medicare provider/supplier specialty codes Here is the list of Medicare provider/supplier specialty codes you can use as a reference during the enrollment process. Code Description 01 General practice 02 General surgery 03 Allergy/immunology 04 Otolaryngology 05 Anesthesiology 06 Cardiology 07 Dermatology 08 Family practice 09 Interventional pain management 10 Gastroenterology 11 Internal medicine 12 Osteopathic manipulative medicine 13 Neurology 14 Neurosurgery 15 Speech language pathology 16 Obstetrics/gynecology 17 Hospice and palliative Care 18 Ophthalmology 19 Oral surgery (dentist only) 20 Orthopedic surgery 21 Cardiac electrophysiology 22 Pathology 23 Sports medicine 24 Plastic and reconstructive surgery 25 Physical medicine and rehabilitation 26 Psychiatry 27 Geriatric psychiatry 28 Colorectal surgery 29 Pulmonary disease 30 Diagnostic radiology 32 Anesthesiologist assistant 33 Thoracic surgery 34 Urology 35 Chiropractic 36 Nuclear medicine 37 Pediatric medicine 38 Geriatric medicine 39 Nephrology 40 Hand surgery 41 Optometry 42 Certified nurse midwife 43 Certified registered nurse anesthetist (CRNA) 44 Infectious disease 45 Mammography screening center 46 Endocrinology 47 Independent diagnostic testing facility 48 Podiatry 49 Ambulatory surgical center 50 Nurse practitioner 51 Medical supply company with certified orthotist 52 Medical supply company with certified prosthetist 53 Medical supply company with certified prosthetist-orthotist 54 Medical supply company not included in specialties 51-53 59 Ambulance service (private) 63 Portable x-ray supplier 64 Audiologist (billing independently) 65 Physical therapist (private practice) 66 Rheumatology 67 Occupational therapist (private practice) 68 Clinical psychologist 69 Clinical laboratory (billing independently) 70 Multi-specialty clinic or group practice 71 Dietitian/nutritionist (effective 1/1/2002) 72 Pain management (effective 1/1/2002) 73 Mass immunization roster biller 74 Radiation therapy center 75 Slide preparation facility 76 Peripheral vascular disease 77 Vascular surgery 78 Cardiac surgery 79 Addiction medicine 80 Licensed clinical social worker 81 Critical care (intensivists) 82 Hematology 83 Hematology/oncology 84 Preventative medicine 85 Maxillofacial surgery 86 Neuropsychiatry 87 All other (drug and department store, etc.) 88 Unknown supplier/provider 89 Certified clinical nurse specialist 90 Medical oncology 91 Surgical oncology 92 Radiation oncology 93 Emergency medicine 94 Interventional radiology 95 Open 96 Optician 97 Physician assistant 98 Gynecological/oncology 99 Unknown physician specialty
How to Choose Your Medicare Provider?
Selecting an appropriate Medicare provider to take care of your healthcare needs is an extremely important step when you become eligible for Medicare. A health insurance program developed by the American government, Medicare caters to citizens above the age of 65 and individuals battling with End Stage Renal Disease or certain disability. There is a huge presence of Medicare providers across United States so that they can be located easily. However, citizens should think carefully when they choose such providers in order to get the maximum coverage and associated benefits. Mentioned below are few guidelines, which can be helpful in deciding on a suitable Medicare provider:
North Carolina Medical Society
The NCMS urges North Carolina physicians to periodically check the list of providers who have been contacted for revalidation to ensure they have not missed their revalidation notice mailing from Palmetto GBA, the Medicare Administrative Contractor (MAC) for North Carolina. While CMS has extended the revalidation effort through 2015, physicians who are contacted to revalidate must do so within 60 days or have their Medicare enrollment deactivated. CMS says the first set of providers contacted for revalidation were those who are enrolled but are not yet in CMS’ Medicare Provider Enrollment, Chain and Ownership System (PECOS).
Finding a Medicare Provider
You can gain access to this tool by simply going online and by following instructions that would take you to your medical provider of choice. You can also call their hotline number and inquire there by giving your area and the specialty of preference. If you are holding a Medicare policy that covers only Part A and B of the plan, you can choose any of the doctors and medical facilities accredited by the Medicare. However, if the plan that you have is that of a private insurance company or is a Medicare Advantage plan, your choice of provider is limited. Why is this so? This is because this kind of plan would only permit you to avail of the doctors and facilities that they recommend or accredit. The best thing to do to prevent making unnecessary additional payments for services, is to ask for a list from your insurance company. Only then, can you find out and choose the medical provider that you need. It would be wise to have a checklist for looking for a Medicare provider that you prefer. Include the area, the specialty, etc. When you are done, check for the profile online. Do not jump right in by contacting the medical provider immediately. Check their profiles and compare.
What are Medicare Providers?
1. Medicare Part A offers coverage to individuals concerned with inpatient hospital stays, medical expert service and health care at home. 2. Medicare Part B assists in covering outpatient care, general medical services from doctors and other healthcare facilities like investigations, check-ups, etc. 3. Medicare Part D helps individuals to cover the expenses of prescription medications. 4. Medicare Part C, also called as Medicare Advantage covers all the benefits and services provided under all the 3 parts mentioned above i.e. A, B and D. This all in one plan is offered to individuals by means of private insurance firms approved by Medicare.
Payroll Tax Extension Includes Important Provisions for Medicare Beneficiaries
Qualified Individual program extension. Over 400,000 low-income Medicare beneficiaries rely on the Qualified Individual (QI) program to pay their Medicare Part B premium ($99.90 for most people for 2012) each month. Those eligible for this assistance are Medicare beneficiaries with incomes between 120% and 135% of federal poverty limits (between $1089 and $1226/person/month in 2011; 2012 figures are not yet available) and limited assets. The program, a fixed-amount block grant to states to administer through their Medicaid programs, has been extended for short periods ever since its initial authorization expired in 2002. The extension legislation authorizes $150 million dollars to continue the program through February 29, 2012.
Still On The Capitol Hill To
The Baltimore Sun: Anxious Marylanders Wait To See If Congress Will Act Failure of the congressional super committee to strike a deal on deficit reduction has left lawmakers scrambling to address a half-dozen bills of major importance to Marylanders, from extending tax breaks to paying Medicare doctors to securing federal money for roads near military bases. Before the end of the month, a bitterly divided Congress must decide whether to keep paying unemployment benefits that 14,300 out-of-work Maryland residents collect and whether to continue a payroll tax cut received by 2.6 million wage earners in the state. Funding for the Bethesda-based National Institutes of Health is up in the air (Fritze, 12/4).
I Missed Medicare’s 2012 Annual Enrollment Period! What now?
Ask about Medicare Supplement (MediGap) open enrollment periods: If your MediGap plans I isn’t working for you any longer, and you can’t enroll in a Medicare Advantage plan outside of AEP, you may be able to change your MediGap plan during select MediGap open enrollment periods. MediGap plans are usually medically underwritten, which means the insurance companies don’t have to accept your application if you’ve been on Medicare Part B for more than three months. AEP is the best time to drop a MediGap plan and switch to a Medicare Advantage plan. But, some states and insurance companies have created open enrollment periods for MediGap plans as well. These open enrollments allow you to update or change your MediGap health coverage without medical underwriting. But the rules change from state to state, so, if you want or need to make a change outside of AEP, investigate the MediGap open enrollment rules in your state by contacting a licensed agent.
HEALTH REFORM: Medicare Providers and Suppliers Continue in the Spotlight :: Epstein Becker & Green, P.C.
The Program was established by the Medicare Prescription Drug, Improvement, and Modernization Act. The Program involves DMEPOS suppliers submitting bids in order to become Medicare contract suppliers and to provide specific medical equipment and supplies in designated competitive bidding areas (“CBAs”). New payment amounts are determined based on the submitted bids, and subsequently replace the Medicare DMEPOS fee schedule amounts for bid items in the CBAs. Round 1 of the Program was implemented for a brief two-week period in July 2008, before legislation delayed the Program. Ultimately, a Round 1 Rebid was conducted and pricing implemented on January 1, 2011, in nine CBAs: Cincinnati – Middletown (Ohio, Kentucky, and Indiana); Cleveland – Elyria – Mentor (Ohio); Charlotte – Gastonia – Concord (North Carolina and South Carolina); Dallas – Fort Worth – Arlington (Texas); Kansas City (Missouri and Kansas); Miami – Fort Lauderdale – Pompano Beach (Florida); Orlando (Florida); Pittsburgh (Pennsylvania); and Riverside – San Bernardino – Ontario (California). The product categories for the Round 1 Rebid included the following: oxygen supplies and equipment; standard power wheelchairs, scooters, and related accessories; complex rehabilitative power wheelchairs and related accessories (Group 2); mail-order diabetic supplies; enteral nutrients, equipment, and supplies; CPAP, RADs, and related supplies and accessories; hospital beds and related accessories; walkers and related accessories; and support surfaces (Group 2 mattresses and overlays) in Miami.