During Indiana’s COVID-19 emergency declaration, IHCP is implementing temporary changes to provide flexibility for Indiana Medicaid providers and patients. Changes affect many areas of IHCP, including telemedicine, timely filing limits, provider enrollment, and more. Here is a brief overview of several of those changes. READ MORE
Indiana Medicaid recently published a new list of providers who must revalidate their enrollment by the published due date. However, to ensure the revalidation is processed correctly, providers really should submit their revalidation application at least 30 days before the due date, says CIPROMS’ Denise O’Brien. READ MORE
In July 2017, the Indiana Health Coverage Programs announced a delay in provider enrollment for its various Indiana Medicaid programs. On October 10, IHCP reported that they have reduced the backlog and currently are processing normal levels of enrollment “inventory.” As IHCP gets back on track, here are a few tips from CIPROMS Director of Provider Enrollment Denise O’Brien for staying ahead of the game in enrolling providers in Indiana Medicaid. READ MORE
Regular Medicare revalidations, which were mandated in the Affordable Care Act and commenced in March 2016 after the Centers for Medicare and Medicaid Services (CMS) completed their first widespread validation of all Medicare providers, are in full-swing. But the process is not without its challenges. READ MORE
The Patient Protection and Affordable Care Act required a revalidation, or a re-enrollment, for all Medicare providers enrolled prior to March 25, 2011. Medicare Administrative Contractors have been contacting providers, and once they receive their revalidation notice, providers have 60 days to respond. The massive special revalidation is expected to be completed by March 2015. READ MORE
While no one may like the loads of paperwork required to enroll physicians and other healthcare providers with government and commercial payers, making sure that the required forms are submitted correctly and in a timely manner is essential for getting reimbursed for services provided. READ MORE
A recent study conducted by the Office of Inspector General revealed that about half of all records in the National Plan and Provider Enumeration System and the Provider Enrollment, Chain and Ownership System are inaccurate, and 97 percent of the records were inconsistent between the two data repositories. READ MORE
That yellow envelope you just received from your Medicare Administrative Contractor (MAC) could mean the difference between uninterrupted payments for your practice or missed revenue and cash flow problems. READ MORE
Medicare revalidation, a provision of the Affordable Care Act, affects all providers and suppliers who were enrolled with Medicare prior to March 25, 2011. According to the provision, all of these providers and suppliers must revalidate their enrollment using Medicare’s new screening criteria by March 23, 2015. READ MORE
