ICD-10 Ombudsman and ICD-10 Coordination Center Here to Support Your Transition NeedsIt’s important that you know help’s available if you have problems with ICD-10:The ICD-10 Ombudsman, Dr. Bill Rogers, can be your impartial advocate. Dr. Rogers, a practicing emergency room physician, is known to many of you already. Since 2002, he has been the Director of the Agency’s Physicians Regulatory Issues Team, assisting physicians, other practitioners, and medical societies in identifying and … [Read more...] about CMS Published New ICD-10 Blog
ICD 10; what to do with difficult submissions
As you know, ICD 10 begins October 1, 2015. CMS MLN released information to providers on claimsubmission alternatives when you have difficulties submitting ICD-10 claims due to being unable tocomplete necessary systems changes or having issues with billing software, vendor(s), orclearinghouse(s). The article states that the following claims submission alternatives are available: Freebilling software, provider internet portals, direct data entry (DDE), and paper claims. Each … [Read more...] about ICD 10; what to do with difficult submissions
Nursing Facility Transition REVISED by DADS: Nursing Facility Changes to the Medicaid Claims Submission Process
The Department of Aging and Disability Services is re-issuing this letter to provide updatedinformation about effective dates for the changes discussed in the original letter. The original letter(Information Letter 2014-68, Nursing Facility Transition: Nursing Facility Changes to theMedicaid Claims Submission Process) was posted on October 21, 2014. This letter replaces thepreviously published letter. In conjunction with the transition of nursing facilities (NFs) to STAR+PLUS managed care … [Read more...] about Nursing Facility Transition REVISED by DADS: Nursing Facility Changes to the Medicaid Claims Submission Process
Medicaid Hospice Rates for Federal Fiscal Year 2015
The Texas Health and Human Services Commission (HHSC) approved rate changes for theMedicaid Hospice program based on information provided by the Centers for Medicare andMedicaid Services (CMS). The new rates, which are retroactive to 10/01/2014, can be accessedthrough the HHSC Rate Analysis website at the following address:http://www.hhsc.state.tx.us/rad/long-term-svcs/hospice/index.shtml For federal fiscal year 2015, CMS approved two payment rates following the quality reportingrequirements … [Read more...] about Medicaid Hospice Rates for Federal Fiscal Year 2015
Program Provider Responsibilities Regarding Acute Care Services
Information Letter No. 14-81 addresses the impact of the carve-in of acute medical careservices into managed care for certain persons enrolled in the Home and Community-basedServices (HCS) or Texas Home Living (TxHmL) programs as required by Senate Bill (SB)7 (83rd Legislature, Regular Session, 2013) and the impact the carve-in will have onexpectations for program providers, including compliance with program rules as describedin Texas Administrative Code (TAC), Chapter 9, Subchapter D for HCS … [Read more...] about Program Provider Responsibilities Regarding Acute Care Services
Restrictions on the Provision of Services by a Legally Responsible Person
DADS has issued Information Letter 14-39 titled Restrictions on the Provision of Services by a Legally Responsible Person - The purpose of this information letter (IL) is to inform Deaf Blind with Multiple Disabilities (DBMD) providers and Financial Management Services Agencies (FMSAs) of restrictions regarding the provision of services by a legally responsible person. FMSAs must inform Consumer Directed Services (CDS) employers about the information provided in this letter. The Centers … [Read more...] about Restrictions on the Provision of Services by a Legally Responsible Person
