Provider Services Portal Invitation

The Centers for Medicare & Medicaid Services (CMS) authorized NHIC, Corp. to design and operate the Provider Services Portal (PSP) to offer DME MAC Jurisdiction A suppliers a means to access beneficiary eligibility and claims information over the Internet. PSP offers an electronic, web-based alternative to the processes of calling or writing the Customer Service Center, or calling the IVR for information.

PSP offers the following information through lookup transactions:

  • Beneficiary Eligibility
  • Claim Status
  • Standard Paper Remittance (SPR)
  • Same/Similar

PSP is available 24 hours a day, 7 days a week, except during scheduled maintenance windows.

At this time, NHIC is offering PSP Open Enrollment to all DME MAC Jurisdiction A suppliers.  Please click here for more information

Medicare Provider-Supplier Enrollment

CMS has established Internet-based Provider Enrollment, Chain and Ownership System (PECOS) as an alternative to the paper (CMS-855) enrollment process. Internet-based PECOS will allow physicians, non-physician practitioners and provider and supplier organizations to enroll, make a change in their Medicare enrollment, view their Medicare enrollment information on file with Medicare, or check on status of a Medicare enrollment application via the Internet. For more information about the Internet-based PECOS, please CLICK HERE

CMS Launches Sunshine Website

The Sunshine Law (officially known as the National Physician Payment Transparency Program) creates greater transparency around the financial relationships of manufacturers, physicians, and teaching hospitals.

The Sunshine Law requires that the following information is reported annually to CMS:

  • Applicable manufacturers of covered drugs, devices, biologicals, and medical supplies to report payments or other transfers of value they make to physicians and teaching hospitals to CMS.
  • Applicable manufacturers and applicable group purchasing organizations (GPOs) to report to CMS certain ownership or investment interests held by physicians or their immediate family members.
  • Applicable GPOs to report to CMS payments or other transfers of value made to physician owners or investors if they held ownership or an investment interest at any point during the reporting year.

CMS will collect this data, aggregate it, and publish it on a public website.  Please click here for more information: SUNSHINE

Medicare and Sequestration – What Happens Now?

Due to continuing budget gridlock in Washington, sequestration has been triggered meaning automatic cuts to a wide range of federal programs, including Medicare payments to providers and health plans. While the Centers for Medicare & Medicaid Services has not yet announced detailed plans for implementing the sequester requirements for its programs, this Alert answers some basic questions about sequestration and how it will impact the Medicare program. Source: ReedSmith.  To view entire alert, please click here MEDICARE ALERT