Coding and Reimbursement News Archive
How Institutional Providers Will Pay the Medicare Enrollment Application Fee beginning Friday, March 25
Section 6401(a) of the Affordable Care Act (ACA) requires the secretary to impose a fee on each 'institutional provider of medical or other items or services and suppliers.' The application fee is to be imposed on institutional providers that are newly-enrolling, re-enrolling/re-validating or adding a new practice location for applications received on and after Friday, March 25, 2011. CMS has defined 'institutional provider' to mean any provider or supplier that submits a paper Medicare enrollment application using the CMS-855A, CMS-855B (except physician and non-physician practitioner organizations), or CMS-855S forms or associated Internet-based PECOS enrollment application. Learn More>>.
Important Medicare Enrollment Update
CMS has indicated that MDs are incorrectly filling for enrollment or practice location changes via internet based PECOS. A Medicare contractor will not process an Internet enrollment application without the signed and dated two-page Certification Statement and the required supporting documentation. Physicians must return the Certification Statement within seven of the electronic submission.
> Getting Started: Internet-based PECOS (PDF 52K)
> Medicare Program Integrity Manual (PDF 512K)
Notice of New Interest Rate
Notice of New Interest Rate for Medicare Overpayments and Underpayments (Part A and B) — Effective July 21, 2010, the interest rate for-overpayments and underpayments will be 11.00 percent. Medicare Regulation 42 CFR §405.378 provides for the assessment of interest at the higher of the current value of funds rate (one percent for calendar year 2010) or the private consumer rate (PCR). The Department of the Treasury has notified the Department of Health and Human Services that the PCR rate will be 11.00 percent.
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