CAQH, CMS 855i, and Audits

Newsletter
March 4, 2013
Chiropractic Medicare
CAQH Reminder

Another reminder to update your CAQH Universal Provider Data Source credentialing. To update your application, go to CAQH Universal Provider Data Source https://upd.caqh.org.oas. Failure to update your information may jeopardize the relationship between you and your authorized participating plan.

CMS 855i Application, http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-List.html, another timely form, must be completed every 5 years or anytime you have data change (name, address, etc.). Check your records to be sure your CMS 855i application has not surpassed 5 years. You may not receive a notice from your Medicare carrier, just denial of Medicare claims.

NOTE: Now that the EHR Registration and Attestation System comes to an end, I suspect we again will see Medicare audits. It will be interesting to see if the majority of Medicare audits will be with those Chiropractors that went through the Medicare Attestation and received incentive payments or will be done on those Chiropractors that did not become certified.

2013 Spring Seminar Schedule:
March 21 - Kokomo, Indiana at the Courtyard Hotel Kokomo – 1:00 pm to 5:00 pm, EST.
March 23 – Bluffton, South Carolina at Unitarian Universalist Church – 12:30 pm to 5:30 pm EST.