Round 1 Updates:
2nd quarter Form C is to be RECEIVED by CBIC no later than tomorrow, Friday, July 29, 2011.
Remitance Advice Change to Financial Control Number Impacting IVREffective July 15, 2011 in response to CMS Change Request 7068, there has been a change to the information available on the remittance advice. The Financial Control Number (FCN) no longer displays the number associated with the offset. This field now displays the Claim Control Number of the claim which has been offset for all or a portion of the overpayment. Additionally, the Health Insurance Claim Number of the patient associated with the claim, and the amount applied to the debt are provided in the "PROVIDER ADJ DETAILS PLM REASON CODE" portion near the end of the remittance advice.
Although the label is still "FCN", it is important to understand this number cannot be used to inquire on an overpayment through the Interactive Voice Response (IVR) System. For Suppliers to learn the original patient and date of service that caused the overpayment on remittance advices dated 07/15/2011 and after, they may:
1. Refer to the original overpayment letter mailed to them by NAS or a different CMS-authorized entity (e.g., Recovery Audit Contractor)
2. Call the Contact Center Customer Service Representatives (1-866-243-7272) with your NPI, PTAN, TIN and remittance advice date. The CSRs can then provide you with the FCN associated with the overpayment. This information will enable you to obtain the overpayment details from the IVR.
Note: Customer Service Representatives are unable to release the details of the cause of an overpayment (patient's name, date of service, amount paid and denied on original claim).
Round 2 Tips & Tasks:
Tip: Based on information from our MED Members involved directly in Round 1 of Competitive Bidding, they stated one of the most important items was to start now with your planning. To begin this you will need to assemble your team to help with the bid process, evaluating your business as well as striving to make your business more efficient as we go forward in the "New Environment" that Competitive Bidding is requiring our businesses to operate in.
Tip: Based on information from our MED Members involved directly in Round 1 of Competitive Bidding, they stated one of the most important items was to start now with your planning. To begin this you will need to assemble your team to help with the bid process, evaluating your business as well as striving to make your business more efficient as we go forward in the "New Environment" that Competitive Bidding is requiring our businesses to operate in.
Task: Assemble your team. As more information is released from CMS, you will start to have weekly meetings but now is the time to get these individuals up-to-speed on what will be happening in the next few months and what their role will be in helping to prepare for the bid. The recommendations of staff for the team are as follows (may need one or more staff from these depts. depending on the structure and size of your company):
1. Senior Management Person to drive the meetings and team
2. Purchasing
2. Purchasing
3. Finance
4. Marketing
5. Sales
6. Operations
Show Support for HR 1041
In last week's webinar, Wayne discussed the process of sending your legislators an email to show support of HR 1041 and to Stop Competitive Bidding for Round 2. I have created step by step instructions for this process. Please feel free to forward this information to your patients, co-workers, and referral sources to have them show their support in the effort to STOP and REPEAL Competitive Bidding. To access this set of instructions to attach to an email, click here.
