Blog
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Price of Omeprazole 40mg Decreases Significantly
by Charlotte Chovanec, RN, BSN, MHA, Clinical Director & Leah King, PharmD, JD, Independent Pharmacy Consultant Recently, the price of omeprazole, a generic version of Prilosec, decreased rather significantly. History of...
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CMS Releases NGHP User Guide Version 6.5
by Frank Fairchok, Vice President of Medicare Reporting Services In what continues to be an exciting time of change in the Medicare Secondary Payer space, CMS released version 6.5 of...
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CMS Announces Acceptance of Records with Future Entitlement Date
by Frank Fairchok, Vice President of Medicare Reporting Services On September 27, 2021, CMS announced they would begin accepting record submissions where the entitlement date is up to three months...
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Slides Available – CMS’ PAID Act Testing Webinar
CMS recently published a copy of the slides from their September 9 webinar presentation, Provide Accurate Information Directly (PAID) Act Testing, to the What’s New page on CMS.gov. For more...
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Key Takeaways from CMS’ PAID Act Testing Webinar
by Frank Fairchok, Vice President of Medicare Reporting Services Last week, CMS hosted a webinar to discuss the testing plan for changes to the query process. These changes are mandated...
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CMS Releases Version 5.7 of 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide
The Centers for Medicare & Medicaid Services’ Benefits Coordination & Recovery Center (BCRC) just released version 5.7 of the 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide...
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Conditional Payments: Is Medicare’s Reopen Process Right For You? Which Regulation Can Medicare Ignore?
On November 17, 2016, Medicare states the following during a townhall presentation, click here for link to transcript. As many of you may be aware the CRC systematically filters all...
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Key Takeaways from CMS’ PAID Act Webinar
by Frank Fairchok, Vice President of Medicare Reporting Services Last week, CMS hosted a webinar to discuss upcoming changes to Section 111 Reporting for Non-Group Health Plan entities. These changes...
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CMS Updates Model Language Form for SSN/MBI Information
This week, CMS released an updated form to help Non-Group Health Plan (NGHP) Responsible Reporting Entities (RRE) with model language around the collection of Social Security Numbers (SSN) or...