Garlo Ward, P.C.

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ILs: Claim Due Dates, Physician Rule Changes

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DADS released four information letters: ALL LTC providers: The American Recovery and Reinvestment Act of 2009 expires on June 30, 2011, and providers are encouraged to bill as often as necessary to maximize the amount of funds Texas can claim (Letter): -- Claims processed through TMHP: received no later than noon Monday, June 27, 2011. -- Claims processed through CARE: submitted to be received  later than noon Friday, June 24, 2011. Medicaid hospice: DADS informed these … [Read more...] about ILs: Claim Due Dates, Physician Rule Changes

TX Register Updates: Reimbursement Changes

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The following information was obtained from the May 13 issue of the Texas Register: HHSC intends to submit amendments to the Texas State Plan for Medical Assistance, which would modify the reimbursement methodologies as a result of Medicaid fee changes for Physicians and Certain Other Practitioners and Chemical Dependency Treatment Facilities. HHSC intends to submit intends to submit amendments to the Texas State Plan for Medical Assistance, which would modify the reimbursement … [Read more...] about TX Register Updates: Reimbursement Changes

ILs: Billing Deadlines, Hospice Documentation

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DADS released two information letters: All LTC providers: The American Recovery and Reinvestment Act of 2009 expires on June 30, 2011. DADS encourages providers to bill as often to ensure that claims for services provided but not yet billed are received by June 30. Other dates: TMHP no later than noon Monday, June 27, 2011; CARE system, no later than noon Friday, June 24, 2011. (Letter) Medicaid hospice: DADS informed these providers that effective July 1, 2011, DADS will require … [Read more...] about ILs: Billing Deadlines, Hospice Documentation

TX Register Updates: May 17 Hearing, RFPs

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The following information was obtained from the April 29 issue of the Texas Register: Public Hearings and Notices HHSC will hold a hearing to receive public comments on Medicaid payment rates for the following: 17-Alpha Hydroxyprogesterone Caproate; Diabetic Equipment and Supplies; Incontinence Supplies; Medicaid Calendar Fee Reviews; Mobility Aids; Otology and Audiometry Services; Substance Use Disorder Services; and Surgical Procedures. The hearing will be held on May 17, 2011, at … [Read more...] about TX Register Updates: May 17 Hearing, RFPs

TX Register Updates: Hearing, Area Agencies on Aging Changes

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The following information was obtained from the April 1 issue of the Texas Register: Public Hearing HHSC will hold a public hearing on April 20, 2011, at 2 p.m., to receive comment on proposed Medicaid payment rates for the Blind Children's Vocational Discovery and Development Program. The public hearing will be held in the Permian Basin Conference Room of HHSC, Braker Center, Building H, located at 11209 Metric Boulevard, Austin, Texas 78758-4021. See the Texas Register for … [Read more...] about TX Register Updates: Hearing, Area Agencies on Aging Changes

TX Register Updates: Contract Award, Correction

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The following information was obtained from the March 25 issue of the Texas Register: Public Notices DADS adopted new rules and repeals under 40 TAC Chapter 45, Community Living Assistance and Support Services, in the March 18, 2011 issue. Because of an error in submission, the text of §45.103(30) was incorrect: the acronym "MR" should have been "ICF/MR." HHSC awarded contract 529-06-0425-00045 to Bailit Health Purchasing, Inc., to assist Medicaid/CHIP Division to implement value-based … [Read more...] about TX Register Updates: Contract Award, Correction

The True Impact of the “Never Events” Designation

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Dr. Rich at the Covert Rationing Blog explains: The “never events” initiative – just as the Feds insist to us – is aimed at changing physicians’ behavior. But quite predictably, that behavioral change will not be in the arena of quality improvement (since no amount of quality improvement can stop “never events” that are inevitable). Rather, the behavioral change will be in the arena of risk avoidance. Read the whole thing.  It explains a lot about the nature of the "Central Authority" … [Read more...] about The True Impact of the “Never Events” Designation

TX Register Updates: Nursing Term Changes, Hurricane Preparedness

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The following information was obtained from the March 18 issue of the Texas Register: Public Notice HHSC intends to submit amendments to the Texas State Plan for Medical Assistance to modify the reimbursement methodologies in the Texas Medicaid State Plan as a result of Medicaid fee changes for Physicians and Certain Other Practitioners and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. See the Texas Register for more information. Proposed Rule HHSC proposed to … [Read more...] about TX Register Updates: Nursing Term Changes, Hurricane Preparedness