As we watch our athletes bring home the gold,
silver & bronze, we should consider how much work it is
to stand on that podium, or even just have the privilege to
represent our country.
As we work forward with our legislative efforts,
we will defeat Competitive Bidding for our patients,
our families and our industry.
Don't loose site of our mission to pass HR 3790!
Take time to get involved with TAHCS.
Remember:
Don't give up.... Don't Lose hope... Don't Sell Out
- Christopher Reeves
UNITED WE STAND!
Join us today- www.tahcs.org
Friday, February 26, 2010
Thursday, February 25, 2010
UPDATE HR 3790 -,Good News
GOOD NEWS HR3790
HR3790 is rapidly gaining support throughout the country.
During the AMEPA Rally for HR 3790 in California,
2 California members of Congress signed on as cosponsors.
This brings our total to 142 Co-Sponsors
and we expect more from California in the near future.
AMEPA is working hard and we are working
with them to secure more Texas co-sponsors
for HR 3790.
Thanks to Rob & Sean for their efforts
in California.
Illinois is next while we look for a Senator
to introduce HR3790 to Repeal Competitive Bidding.
UNITED WE STAND!
TAHCS
HR3790 is rapidly gaining support throughout the country.
During the AMEPA Rally for HR 3790 in California,
2 California members of Congress signed on as cosponsors.
This brings our total to 142 Co-Sponsors
and we expect more from California in the near future.
AMEPA is working hard and we are working
with them to secure more Texas co-sponsors
for HR 3790.
Thanks to Rob & Sean for their efforts
in California.
Illinois is next while we look for a Senator
to introduce HR3790 to Repeal Competitive Bidding.
UNITED WE STAND!
TAHCS
ZPIC AUDITS - MORE LIFTED
Dallas, Texas --
We have been informed that several providers have cleared
the recent ZPIC audits with Health Integrity LLC in Dallas.
There were no findings of fraud with any audit.
Providers were relieved to be released from
100% prepayment audits since these audits
created cash flow problems.
The Legal Counsel has sent a list of questions
regarding the audits but has yet to receive an
answer from the ZPIC counsel.
If you have been audited by the ZPIC
please email us at info@tahcs.org.
Pass this site along to everyone.
Ask every provider to send their
email address for free TACHS updates
to info@tahcs.org.
UNITED WE STAND!
TAHCS
We have been informed that several providers have cleared
the recent ZPIC audits with Health Integrity LLC in Dallas.
There were no findings of fraud with any audit.
Providers were relieved to be released from
100% prepayment audits since these audits
created cash flow problems.
The Legal Counsel has sent a list of questions
regarding the audits but has yet to receive an
answer from the ZPIC counsel.
If you have been audited by the ZPIC
please email us at info@tahcs.org.
Pass this site along to everyone.
Ask every provider to send their
email address for free TACHS updates
to info@tahcs.org.
UNITED WE STAND!
TAHCS
Friday, February 19, 2010
TACHS Seminar Scheduled
Dallas Texas -- TAHCS announces their first educational seminar
is now scheduled ini April 2010 at the Crown Plaza Hotel in Dallas, Texas
Exact Date to follow soon.
Topics include:
How to repeal Competitive Bidding (HR3790),
Repealing Oxygen Cap (HR 2373),
Post Payment Audits,
Legal Aspects of DME
and Successful Lobbying just to name a few.
Additional topics are being considered as time permits.
The meeting is co-sponsored by Thompson Coe Cousins & Irons, LLP
which serves as TAHCS Legal Counsel.
This promises to be an exceptional meeting jammed with
important information. You do not want to miss this event.
Mark your calendars today!
The meeting is open to all DME providers, case managers,
social workers, billing services and health care providers.
UNITED WE STAND!
TAHCS
is now scheduled ini April 2010 at the Crown Plaza Hotel in Dallas, Texas
Exact Date to follow soon.
Topics include:
How to repeal Competitive Bidding (HR3790),
Repealing Oxygen Cap (HR 2373),
Post Payment Audits,
Legal Aspects of DME
and Successful Lobbying just to name a few.
Additional topics are being considered as time permits.
The meeting is co-sponsored by Thompson Coe Cousins & Irons, LLP
which serves as TAHCS Legal Counsel.
This promises to be an exceptional meeting jammed with
important information. You do not want to miss this event.
Mark your calendars today!
The meeting is open to all DME providers, case managers,
social workers, billing services and health care providers.
UNITED WE STAND!
TAHCS
PECOS DELAYED UNTIL JAN 2011
CMS has announced they will delay Medicare implementation
of CR6417 and CR6421 (the PECOS edits) until Jan. 3, 2011.
CMS has announced this further delay of the physician registration
requirement to allow physicians and non-physician practitioners
who order services or items, or refer Medicare beneficiaries
to other Medicare providers, sufficient time to enroll or update their
Medicare credentials.
Finally CMS is beginning to listen to the DME industry !
UNITED WE STAND
TAHCS
of CR6417 and CR6421 (the PECOS edits) until Jan. 3, 2011.
CMS has announced this further delay of the physician registration
requirement to allow physicians and non-physician practitioners
who order services or items, or refer Medicare beneficiaries
to other Medicare providers, sufficient time to enroll or update their
Medicare credentials.
Finally CMS is beginning to listen to the DME industry !
UNITED WE STAND
TAHCS
Repeal O2 Cap -- Support HR 2373
There has been a resurgence throughout our DME Communityfor
the support of HR 2373. This legislation will repeal the cap on oxygen
and restore the paymentsfor oxygen services through the beneficiaries
medical need period as introduced by Rep. (Dr.) Price of Georgia.
Currently the bill has 82 co sponsors. We need additional cosponsors to
schedule it for a committeehearing in the house. Ask your member of
congress to support and cosponsor HR 2373 to restore oxygen care for our seniors.
Congress needs to once and for all "step up to the plate" anddecide how they
will pay for the oxygen services seniors deserve.There are other ways to bring
the US budget in line without placing this burden on the "backs of our elderly".
Ask your Member of Congress to return the full reimbursement for home
oxygen for our seniors.
United We Stand !
TAHCS
the support of HR 2373. This legislation will repeal the cap on oxygen
and restore the paymentsfor oxygen services through the beneficiaries
medical need period as introduced by Rep. (Dr.) Price of Georgia.
Currently the bill has 82 co sponsors. We need additional cosponsors to
schedule it for a committeehearing in the house. Ask your member of
congress to support and cosponsor HR 2373 to restore oxygen care for our seniors.
Congress needs to once and for all "step up to the plate" anddecide how they
will pay for the oxygen services seniors deserve.There are other ways to bring
the US budget in line without placing this burden on the "backs of our elderly".
Ask your Member of Congress to return the full reimbursement for home
oxygen for our seniors.
United We Stand !
TAHCS
ZPIC Audit Update
According to the TAHCS general counsel,the first supplier
has been released from ZPIC audits which
included 100% prepayment audit.
This is a direct result of objections made by TAHCS general
counsel to the excessive number of audits preformed,
implementation of the 100% prepayment punishment status
and the excessive length of time required to complete the audits.
When contacted, the ZPIC counsel indicated it was not their
intent to "strangle" the providers, but rather to complete
their audits to rule out fraud and abuse.
Furthermore, the ZPIC has ceased telling providersthese
are random audits, after it was discoveredby general counsel,
all audits were pointed and fraud based.
More to follow as available.
Join TAHCS today!
Remember
UNITED WE STAND!TAHCS
TAHCS
Sunday, February 7, 2010
ZPIC NEW INFO
TAHCS counsel has discovered that the ZPIC
audits are NOT Random as previously indicated by the contractor.
These are Pointed Audits based upon supplier
billing practices and are designed to find fraud.
The Texas Counsel for ZPIC has indicated it was not their
intent to "strangle suppliers".
Guess they do not understand when withholding the
supplier's reimbursement, before they are found
guilty of wrongdoing, will have an impact on cash flow.
Unfortunately, the audit procedures and
100 % prepayment are having adverse
effects on small business.
Going to the penalty phase of the audit procedure
manages to skip all other reasonable methods
for correcting billing procedures, such as education,
as noted in the Integrity Manual.
Perhaps they are making the audit rules as they go along?
Meanwhile the ZPIC counsel has requested we submit our
questions thru our counsel.
Let TAHCS know if you have questions or comments by blogging.
It is your site, let your views be heard.
Join TACHS today because.....
United WE Stand!!
More to follow!!!
TAHCS
audits are NOT Random as previously indicated by the contractor.
These are Pointed Audits based upon supplier
billing practices and are designed to find fraud.
The Texas Counsel for ZPIC has indicated it was not their
intent to "strangle suppliers".
Guess they do not understand when withholding the
supplier's reimbursement, before they are found
guilty of wrongdoing, will have an impact on cash flow.
Unfortunately, the audit procedures and
100 % prepayment are having adverse
effects on small business.
Going to the penalty phase of the audit procedure
manages to skip all other reasonable methods
for correcting billing procedures, such as education,
as noted in the Integrity Manual.
Perhaps they are making the audit rules as they go along?
Meanwhile the ZPIC counsel has requested we submit our
questions thru our counsel.
Let TAHCS know if you have questions or comments by blogging.
It is your site, let your views be heard.
Join TACHS today because.....
United WE Stand!!
More to follow!!!
TAHCS
Friday, February 5, 2010
NEW PECOS PROVIDER LIST
NEW PECOS LISTING
A newly rreleased PECOS listing has been issued for your review.
Although it does not appear searchable, it beats nothing.
Check to see if you referring physicians are on the list.
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/OrderingReferringReport.pdf
TAHCS
We have a long way to go and a short time to get there... Jerry Reed
A newly rreleased PECOS listing has been issued for your review.
Although it does not appear searchable, it beats nothing.
Check to see if you referring physicians are on the list.
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/OrderingReferringReport.pdf
TAHCS
We have a long way to go and a short time to get there... Jerry Reed
Tuesday, February 2, 2010
PECOS LOOKUP
PECOS --- In order to find the physicians or providers authorized to refer
medicare beneficiaries go to: https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do
and SEARCH BY THE APPROPRIATE FIELDS.
Happy hunting!
More to follow.
TAHCS
medicare beneficiaries go to: https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do
and SEARCH BY THE APPROPRIATE FIELDS.
Happy hunting!
More to follow.
TAHCS
Monday, February 1, 2010
HR 3790 to Repeal Competitive Bidding
Washington DC --- HR 3790 is gaining more support
for this budget neutral bill which would repeal Competitive Bidding.
As of 02-01-2010, we have 138 cosponsors which include some notable
members such as Minority Leader Boehner (OH), Congressman Nathan Deal (GA),
Co-Policy Bluedog Chair Barron Hill (IN).
HR 3790 has picked up support in Texas by members of congress
such as Ralph Hall (Tx), EB Johnson (Tx), Henry Cuellar (Tx),
Louie Gohmert (Tx), Charles Gonzalez (Tx), Solomon Ortiz (Tx)
and, TedPoe (Tx) and Ciro Rodriquez (Tx).
If allowed to implement, it is estimated that 300,000 to 500,00
jobs will be lost. Home Care magazine has reported thousands
of providers have already been eliminated due to CB.
Texas co-sponsorship is certainly bipartisan as well as other states.
TAHCS
for this budget neutral bill which would repeal Competitive Bidding.
As of 02-01-2010, we have 138 cosponsors which include some notable
members such as Minority Leader Boehner (OH), Congressman Nathan Deal (GA),
Co-Policy Bluedog Chair Barron Hill (IN).
HR 3790 has picked up support in Texas by members of congress
such as Ralph Hall (Tx), EB Johnson (Tx), Henry Cuellar (Tx),
Louie Gohmert (Tx), Charles Gonzalez (Tx), Solomon Ortiz (Tx)
and, TedPoe (Tx) and Ciro Rodriquez (Tx).
If allowed to implement, it is estimated that 300,000 to 500,00
jobs will be lost. Home Care magazine has reported thousands
of providers have already been eliminated due to CB.
Texas co-sponsorship is certainly bipartisan as well as other states.
TAHCS
ZPIC Audit Updates
Dallas Texas --- TAHCS has established dialog with the
general counsel for Health Integrity LLC.
We are attempting in to determine how and why many of the
DME providers were placed on 100% prepayment audit before other
steps were taken as outlined in the program integrity manual.
Some providers are reporting more than 500 requests for audits in
a wide variety of equipment and supplies. One supplier was audited
after their claim was denied and no appeals requested.
There appears to be no common factor in the selection for audits
at this time. And these a "samplings" appear unusual due to the
numbers requested.
Generally speaking , statistically fewer audits
could be performed to accomplish the same goal.
If you have been audited we want to hear from you
via email at info@tahcs.org.
All information will be confidential
and not shared with anyone except TAHCS legal counsel.
If you need legal assitance contact TAHCS for
information.
TAHCS is here to help in any way possible.
Join TAHCS today by downloading the
membership application at www.tahcs.org.
Download the application and return it via
Fax today.
TAHCS - United we stand!
general counsel for Health Integrity LLC.
We are attempting in to determine how and why many of the
DME providers were placed on 100% prepayment audit before other
steps were taken as outlined in the program integrity manual.
Some providers are reporting more than 500 requests for audits in
a wide variety of equipment and supplies. One supplier was audited
after their claim was denied and no appeals requested.
There appears to be no common factor in the selection for audits
at this time. And these a "samplings" appear unusual due to the
numbers requested.
Generally speaking , statistically fewer audits
could be performed to accomplish the same goal.
If you have been audited we want to hear from you
via email at info@tahcs.org.
All information will be confidential
and not shared with anyone except TAHCS legal counsel.
If you need legal assitance contact TAHCS for
information.
TAHCS is here to help in any way possible.
Join TAHCS today by downloading the
membership application at www.tahcs.org.
Download the application and return it via
Fax today.
TAHCS - United we stand!
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