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Importante Información Relacionada con Medicare / First Coast

FYI

 

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

 

"The secret of joy in work is contained in one word – “EXCELLENCE”. To know how to do something well is to enjoy it"


From: Favio F. Miranda Aldarondo [mailto:fmiranda@leadersteps.com]
Sent: Thursday, March 19, 2009 9:03 AM
To: Alicea, Raul (CMS/CMHPO); Alicea, Raul (CMS/CMHPO)
Subject: Assertus - First Coast

 

Estimado Raul:

 

Saludos.  Me complace compartir contigo la informacion adjunta.  Sientete en total libertad de compartir la misma.

 

Reclamaciones Medicare Parte A y B  //  Transición de Triple S a First Coast...  En ASSERTUS estamos Listos.  El pasado 25 de febrero de 2009, recibimos la certificación por parte First Coast Service Option, Inc.,  de que ASSERTUS ha pasado exitosamente las pruebas para procesar las reclamaciones de Medicare  parte A y B.   Vea más en: www.assertus.com

 

Sinceramente,

 

Favio F. Miranda

 

t 787.518.2615
f 787.957.6087

____

FYI

 

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

 

"The secret of joy in work is contained in one word – “EXCELLENCE”. To know how to do something well is to enjoy it"


 

Part A

Billing and coverage

 

Updates to the Medicare Claims Processing Manual for ambulance services
Modified: 3/16/2009 Business: Part A, Part B Location: FL, PR, USVI
The key purpose of these manual changes is to eliminate references to the reasonable charge payment methodology and the transition to the ambulance fee schedule, which took place from April 2002 through December 2006. [MM6347]

Transition from an FI/carrier to a Medicare administrative contractor
Modified: 3/13/2009 Business: Part A, Part B Location: FL, PR, USVI
This article was revised on March 11, 2009, to add definitions of an outgoing and incoming contractor and to remind affected providers of upcoming Medicare contractor transitions. [SE0837, PERL 200903-17]

Forms

 

Request for redetermination form
Modified: 3/13/2009 Business: Part A Location: FL
This is for an appeal and not to be used when requesting a claim adjustment.

Hospital

 

Disclosure of physician ownership in hospitals
Modified: 3/13/2009 Business: Part A Location: FL, PR, USVI
The fiscal year (FY) 2008 and FY 2009 inpatient prospective payment system regulations require hospitals to disclose to patients whether they are physician-owned, and if so, to disclose the physician owners’ names. [MM6306]




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This message was sent from First Coast Service Options to raul.alicea-morales@cms.hhs.gov. It was sent from: First Coast Service Options, Inc., 532 Riverside Avenue , Jacksonville , FL 32202 . You can modify/update your subscription via the link below.

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http://www.acc.org/advocacy/advoc_issues/medicare_pqri031209.cfm

Raúl Alicea, MBA/HCM, CHA | Health Insurance Specialist | Provider Outreach & Education | Consortium for Medicare Health Plan Operations | Centers for Medicare and Medicaid Services' 787-771-3687 | 7 787-771-3689 | * raul.alicea@cms.hhs.gov

 

"The secret of joy in work is contained in one word – “EXCELLENCE”. To know how to do something well is to enjoy it" 

 

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