February 25th, 2011 Congratulations go out to Dr. John Hellstein who has been appointed Chair of the ADA Council on Scientific Affairs.

October 24th, 2011 There have been no developments regarding PECOS for quite a while. Medicare has not released the Final Rule which was expected last spring. They have not announced when they will start rejecting claims submitted by non-PECOS registered providers. But, just when things seemed about to calm down, CMS has announced that anyone [...]

November 22nd, 2011 1. CMS has backed off-a bit-from its Jan. 1, 2012 deadline for enforcement of a rule requiring adoption of a more-robust set of claims transmission standards. CMS announced today it will hold off until March 31, 2012, on enforcing its rule requiring hospitals, physician practices, health plans and claims clearinghouses to switch [...]

February 22nd, 2012 HHS has confirmed its intent to delay the ICD-10 compliance deadline,. “We have heard from many in the provider community who have concerns about the administrative burdens they face in the years ahead,” HHS Secretary Kathleen G. Sebelius said in the press release. “We are committing to work with the provider community [...]

October 23rd, 2012 Click on the link below to see "SE1011 Revised" which shows Edits on the Ordering/Referring Providers in Medicare Part B, DME and Part A HHA Claims (Change Requests 6417, 6421, 6696, and 6856)

May 24th, 2013 Due to technical issues, implementation of the Phase 2 ordering and referring denial edits is being delayed. These edits would have checked the following claims for an approved or validly opted-out physician or non-physician who is an eligible specialty type with a valid individual National Provider Identifier (NPI). If either of these [...]