• Jul 26, 2013
    The new Health Insurance Portability and Accountability Act (HIPAA) patient privacy and data security provisions found in the Health Information Technology for Economic and Clinical Health Act (HITECH) include...
  • Jun 04, 2013
    Round 2 of the competitive bidding program and the national mail-order program will go into effect July 1, 2013. Additional information can be found at the Competitive Bid Implementation Contractor (CBIC) website:
  • Jun 04, 2013
    Retail pharmacies and mail order pharmacies must include a valid Patient Residence code on all Part D claims transactions; however if the patient residence is unknown, these pharmacies may default to a Patient Residence of 1 (Home). We expect that LTC pharmacies, home infusion pharmacies and specialty pharmacies, since they deliver to the patient residence, will know with precision the patient residence and, thus this information will be appropriately reported on PDEs associated with claims from these providers.
  • Apr 10, 2013
    The Centers for Medicare & Medicaid Services (CMS) today announced that they have awarded 13,126 Round 2 DMEPOS competitive bidding program contracts to 799 suppliers.
  • Feb 19, 2013
    At the request of industry, CMS has authorized Relay Health to implement an enhancement to the Medicare Part D E1 Transaction to facilitate Best Available Evidence when there is a discrepancy in the information received from the beneficiary and/or Part D plan.
  • Jan 18, 2013
    Effective as of January 15, 2013 the Centers for Medicare and Medicaid Services (CMS) has placed the SilverScript Medicare Part D Prescription Drug Plan on intermediate sanctions.