 Special Alerts!
May 29, 2009
Come Meet the Medicare Recovery Audit Contractor
The Centers for Medicare & Medicaid Services (CMS) is presenting two (2) Medicare Recovery Audit
Contractor (RAC) educational sessions on May 18, 2009 and May 20, 2009 for the Colorado Medical
Society Members and their Staff. The purpose of these sessions is to provide information on the RAC
program and to introduce providers to Connolly Consulting, the RAC for the State of CO.
Click here for the handouts
May 23, 2008
Implementing C.R.S. 25-37-101 (SB 79) In Your Practice - It is important to be able to compare your “new” contracts to your existing contracts. Some payers may only be sending amendments to address issues of compliance with the Law. Others may be sending complete contracts that include the current requirements.
The purpose of the Law is to provide transparency around key contract provisions so physicians will have a clear idea of what they will be paid, how they will be paid and know that the payer cannot make changes unilaterally once the contract is signed. It is the obligation of the payers to bring contracts into compliance with the provisions of the Law; and it is the obligation of each practice to review the contracts for payer compliance with the Law. All payers doing business in Colorado must bring their contracts into compliance no later than December 31, 2008.
The Health Care Financing Division staff has put together some educational materials for physicians and their staff to use when evaluating these communications. These materials can be found on the Practice Management Community in the Contracting Neighborhood Resources.
CMS will be tracking health plan/payer/PPO, etc. compliance with all the provision of the statute. As issues are identified we will be working with the Colorado Association of Health Plans and/or the individual health plan/payer/PPO, etc.
Physicians and their staff are key to monitoring compliance! It is important for you to keep CMS informed:
If you have questions, contact the CMS Health Care Financing Division:
Marilyn Rissmiller, (720) 858-6328, fax (720) 859-7509 or marilyn_rissmiller@cms.org
Sandy Page, (720) 858-6321, fax (720) 859-7509 sandy_page@cms.org
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