The Medicare Review Process February 25, 2015
|
|
- Cameron Chandler
- 5 years ago
- Views:
Transcription
1 WELCOME TO REVENUE CYCLE BASICS: The Medicare Review Process February 25, 2015 Greg Beech Senior Revenue Cycle Analyst esolutions, Inc.
2 02 Objectives Identify Five Common Sources of Claim Reviews Identify Each Review Contractor s Role Learn How to Identify Your Review Contractors Review Recent Updates to ADR Process Learn How esolutions Can Simplify Your Audit Process
3 NEXT Five Common Sources of Audits
4 Five Common Medicare Review Contractors 04 The term Review Contractor refers to: Medicare Administrative Contractors (MACs) Comprehensive Error Rate Testing (CERT) Contractors Recovery Auditors (RACs) Supplemental Medical Review Contractor (SMRC) Zone Program Integrity Contractors (ZPICs) Review Contractors shall follow all sections of the Medicare Program Integrity Manual (PIM) unless otherwise indicated as required by their applicable Statements of Work (SOW). Medicare Program Integrity Manual 1.1
5 NEXT Review Contractors and Their Role
6 Medicare Administrative Contractor (MAC) 06 Purpose To process claims submitted by physicians, hospitals, and other health care professionals and to submit payment to those providers in accordance with Medicare rules and regulations. This includes identifying and correcting underpayments and overpayments. Goal of MAC Medical Review Program To reduce payment error by preventing the initial payment of claims that do not comply with Medicare s coverage, coding, payment, and billing policies. To achieve the goal of the MR program, MACs: Identify provider noncompliance with coverage, coding, billing, and payment policies through analysis of data (profiling of providers, services, or beneficiary utilization) and evaluation of other information (complaints, enrollment and/or cost report data). Take action to prevent and/or address the identified improper payment. Place emphasis on reducing the paid claims error rate by notifying the individual billing entities (providers, suppliers, or other approved clinician) of review findings identified by Affiliated Contractors (ACs) or by the MACs and making appropriate referrals to Provider Outreach and Education (POE) and ZPIC. Medicare Program Integrity Manual 1.3.8
7 A/B MAC Jurisdictions 07 Jurisdiction Contractor States Jurisdiction 5 WPS Iowa, Kansas, Missouri, and Nebraska Jurisdiction 6 NGS Illinois, Minnesota, and Wisconsin Jurisdiction 8 WPS Indiana and Michigan Jurisdiction 10 (J) Cahaba GBA Alabama, Georgia, and Tennessee Jurisdiction 11 Palmetto GBA Jurisdiction 15 CGS Kentucky and Ohio Jurisdiction E Jurisdiction F Jurisdiction H Jurisdiction K Jurisdiction L Noridian Noridian Novitas Solutions NGS Novitas Solutions North Carolina, South Carolina, Virginia, and West Virginia American Samoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania Jurisdiction N First Coast (FCSO) Florida, Puerto Rico, and U.S. Virgin Islands
8 Home Health and Hospice Regions 08 Jurisdiction Contractor States Jurisdiction K HH+H NGS Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont Jurisdiction 15 HH+H CGS Colorado, Delaware, District of Columbia, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia and Wyoming Jurisdiction 11 HH+H Palmetto GBA Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas Jurisdiction 6 HH+H NGS Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Michigan, Minnesota, Nevada, New Jersey, New York, Northern Mariana Islands, Oregon, Puerto Rico, US Virgin Islands, Wisconsin and Washington
9 Durable Medical Equipment Jurisdictions 09 Jurisdiction Contractor States DME Jurisdiction A NHIC Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont DME Jurisdiction B NGS Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin DME Jurisdiction C CGS Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia and West Virginia DME Jurisdiction D Noridian Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming
10 Medicare Administrative Contractor (MAC) 10 MAC, CERT, and RAC Cooperation The MACs primarily use error rates produced by the CERT program and vulnerabilities identified through the Recovery Audit program to identify where to target their improper payment prevention efforts. The MACs analyze their internal data to determine which corrective actions would be best to prevent the CERT-identified and Recovery Auditor-identified vulnerabilities in the future. The CMS has determined that most improper payments in the Medicare FFS program occur because a provider did not comply with Medicare s coverage, coding, or billing rules. The cornerstone of the MACs efforts to prevent improper payments is each contractor s Error Rate Reduction Plan (ERRP), which includes initiatives to help providers comply with the rules. These initiatives usually fall into one of three categories: Provider education targeted to items or services with the highest improper payments. Pre-payment and post-payment claim review targeted to those services with the highest improper payments. In addition, in order to encourage providers to submit claims correctly, MACs can perform extrapolation reviews as needed. New or revised local coverage determinations, articles or coding instructions to assist providers in understanding how to correctly submit claims and under what circumstances the services will be considered reasonable and necessary. Medicare Program Integrity Manual B
11 Comprehensive Error Rate Testing (CERT) 11 Purpose To establish error rates and estimates of improper payments. CERT is compliant with the Improper Payments Information Act (IPIA) of 2002 as amended by the Improper Payments Elimination and Recovery Improvement Act (IPERIA) of Goal To calculate the paid claims error rate for Medicare claims submitted to Part A/B Medicare Administrative Contractors (MACs) and Durable Medical Equipment MACs (DMACs). The Centers for Medicare and Medicaid Services receives in excess of 2 billion claims per year. CERT randomly selects a statistical sample of these claims for review to determine whether the claims were paid properly. The CERT Program uses two contractors to accomplish this work: the CERT Review Contractor and the CERT Documentation Contractor. The CERT Review Contractor is responsible for reviewing the selected claims and associated medical record documentation. The CERT Documentation Contractor is responsible for requesting and receiving the medical record documentation from providers. The CERT Documentation Contractor (Livanta LLC) is a national review contractor. Medicare Program Integrity Manual A, CERT Provider Website
12 Comprehensive Error Rate Testing (CERT) 12 w or
13 Recovery Auditors (RACs) 13 Purpose To correct past improper payments through post-payment claim review. Recovery Auditors are responsible for reviewing claims where improper payments have been made or where there is a high probability that improper payments were made. Goal To identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on claims of health care services provided to Medicare beneficiaries and to identify underpayments to providers so that the CMS can implement actions that will prevent future improper payments in all 50 states. w Medicare Program Integrity Manual 1.3.2, C, CMS.gov
14 Recovery Auditors (RACs) 14 Jurisdiction Contractor States Region A Performant Recovery CT, DE, DC, ME, MD, MA, NH, NJ, NY, PA, RI and VT. Region B CGI Federal, Inc IL, IN, KY, MI, MN, OH and WI Region C Connolly, Inc. AL, AR, CO, FL, GA, LA, MS, NM, NC, OK, SC, TN, TX, VA, WV, Puerto Rico and U.S. Virgin Islands Region D HealthDataInsights, Inc (HDI) AK, AZ, CA, HI, ID, IA, KS, MO, MT, ND, NE, NV, OR, SD, UT, WA, WY, Guam, American Samoa and Northern Marianas
15 Supplemental Medical Review Contractor (SMRC) Purpose To perform and/or provide support for a variety of tasks aimed at lowering the improper payment rates and increasing efficiencies of the medical review functions of the Medicare and Medicaid programs. The centralized medical review (MR) resource performs large volume MR nationally and allows for a timely and consistent execution of MR review, activities and decisions. The focus of the reviews may include but are not limited to issues identified by CMS internal data analysis, the CERT program, professional organizations and other Federal agencies, such as the OIG/GAO and comparative billing reports. Goal of SMRC Medical Review Program To reduce payment error by preventing the initial payment of claims that do not comply with Medicare s coverage, coding, payment, and billing policies. To achieve the goal of the MR program, SMRC: Identifies provider noncompliance with coverage, coding, billing, and payment policies through the research and analysis of data related to assigned task (profiling of providers, services, or beneficiary utilization). Performs medical review as directed by CMS. Performs extrapolation as directed by CMS. Notifies the individual billing entities (providers, suppliers, or other approved clinician) of review findings and makes appropriate recommendations for POE and ZPIC referrals. 15 Medicare Program Integrity Manual D, 1.3.8
16 16 Supplemental Medical Review Contractor (SMRC) w
17 Zone Program Integrity Contractors (ZPICs) 17 Purpose To identify cases of suspected fraud and take appropriate corrective actions. Current ZPIC contracts analyze all claim types including Part A, Home Health, Hospice, Part B, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and perform Medicare and Medicaid Data Matching. Goal To identify cases of suspected fraud, develop them thoroughly and in a timely manner, and take immediate action to ensure that Medicare Trust Fund monies are not inappropriately paid out and that any mistaken payments are recouped. There are seven ZPIC zones and the ZPICs for these zones are tasked with performing program integrity for Medicare Parts A, B, C, Durable Medical Equipment (DME), Home Health and Hospice (HH+H), and the Medicare-Medicaid data match program (Medi-Medi). Medicare Program Integrity Manual 1.7.A, 1.7.B
18 ZPIC Jurisdictions 18 Zone Contractor States Zone 1 Zone 2 Zone 3 Safeguard Services AdvanceMed Cahaba California, Nevada, American Samoa, Guam, Hawaii, the Northern Mariana Islands, Palau, Marshall Islands, and the Federated States of Micronesia Alaska, Washington, Oregon, Montana, Idaho, Wyoming, Utah, Arizona, North Dakota, South Dakota, Nebraska, Kansas, Iowa and Missouri Minnesota, Wisconsin, Illinois, Indiana, Michigan, Ohio, and Kentucky Zone 4 Health Integrity, LLC Colorado, New Mexico, Oklahoma, and Texas Zone 5 Zone 6 AdvanceMed TBD Alabama, Arkansas, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia and West Virginia Pennsylvania, New York, Maryland, Washington D.C., Delaware, Maine, Massachusetts, New Jersey, Connecticut, Rhode Island, New Hampshire, and Vermont Zone 7 Safeguard Services Florida, Puerto Rico and Virgin Islands
19 NEXT Identifying Your Review Contractors
20 CMS Review Contractor Directory Interactive Map 20 w
21 NEXT Recent Updates
22 22 Time-Frames for Submission (Effective: ) Pre-payment Review Time Frames When requesting documentation for pre-payment review, the MAC and ZPIC shall notify providers that the requested documentation is to be submitted within 45 calendar days of the request. The reviewer should not grant extensions to providers who need more time to comply with the request. Reviewers shall deny claims for which the requested documentation was not received by day 46. Post-payment Review Time Frames When requesting documentation for post-payment review, the MAC, CERT and RAC shall notify providers that the requested documents are to be submitted within 45 calendar days of the request. ZPICs shall notify providers that requested documents are to be submitted within 30 calendar days of the request. Because there are no statutory provisions requiring that post-payment review of the documentation be completed within a certain timeframe, MACs, CERT, and ZPICs have the discretion to grant extensions to providers who need more time to comply with the request. The number of submission extensions and the number of days for each extension is solely within the discretion of the MACs, CERT and ZPICs. RACs shall follow the time requirements outlined in their SOW. MLN Matters Number: MM8583
23 New CMS Post-payment ADR Letter Format 23 Medicare Program Integrity Manual
24 NEXT How to Simplify Your Audit Process
25 Audit Solutions 25 esolutions has audit solutions for all organizations. NexusMD NexusMD Convenient website portal for esmd submission. Secure solution that s cost-effective for all providers. Maven Maven Comprehensive ADR tracking and appeals management workflow tool. Network Integration Network Integration (esmd) Fully integrate with existing systems. Ideal for large organizations. w esolutions, Inc.
26 What is esmd? 26 Electronic Submission of Medical Documentation (esmd) provides a quick and easy way to respond to additional documentation requests (ADRs) by CMS Review Contractors such as the RACs, MACs, DME MACs, ZPICs, SMRC, CERT, and PERM. In addition to ADRs, esmd also allows you to submit Level 1 appeals (Redetermination), RAC Discussion Requests, Advanced Determination of Medicare Coverage (ADMC) Requests, and Power Mobility Device Prior Authorization Requests (PMD PAs). Secure, HIPAA Compliant Submission Accepts Portable Document Format (PDF) Simple and Efficient $ Audits already cost you money. Stop spending more than you need to.
27 27 esmd Benefits Taking advantage of esmd can help providers save money and increase efficiency Quicker Turnaround Providers have reported the payment turnaround when using esmd is 6 days, as opposed to the paper process which is approximately 3 weeks. Delivery Confirmation esmd provides electronic confirmation tracking when records are delivered and received by a Review Contractor. Reduced Costs esmd helps to reduce the amount of labor required to fulfill these requests by no longer having to mail records, feed a fax machine, or burn CDs.
28 Contact Us Toll Free esolutions Website
ACORD Forms Updated in AMS R1
ACORD Forms Updated in AMS360 2017 R1 The following forms will use the ACORD form viewer, also new in this release. Forms with an indicate they were added because of requests in the Product Enhancement
More informationAge of Insured Discount
A discount may apply based on the age of the insured. The age of each insured shall be calculated as the policyholder s age as of the last day of the calendar year. The age of the named insured in the
More information36 Million Without Health Insurance in 2014; Decreases in Uninsurance Between 2013 and 2014 Varied by State
36 Million Without Health Insurance in 2014; Decreases in Uninsurance Between 2013 and 2014 Varied by State An estimated 36 million people in the United States had no health insurance in 2014, approximately
More informationSTATE TAX WITHHOLDING GUIDELINES
STATE TAX WITHHOLDING GUIDELINES ( Guardian Insurance & Annuity Company, Inc. and Guardian Life Insurance Company of America (hereafter collectively referred to as Company )) (Last Updated 11/2/215) state
More informationACORD Forms in ebixasp (03/2004)
ACORD Forms in ebixasp (03/2004) Form number Form Name Edition Date 1 Property Loss Notice 2002/1 2 Automobile Loss Notice 2002/1 3 General Liability Notice of Occurrence/Claim 2002/1 4 Workers Compensation
More informationmedicaid a n d t h e How will the Medicaid Expansion for Adults Impact Eligibility and Coverage? Key Findings in Brief
on medicaid a n d t h e uninsured July 2012 How will the Medicaid Expansion for Adults Impact Eligibility and Coverage? Key Findings in Brief Effective January 2014, the ACA establishes a new minimum Medicaid
More informationNCSL Midwest States Fiscal Leaders Forum. March 10, 2017
NCSL Midwest States Fiscal Leaders Forum March 10, 2017 Public Pensions: 50-State Overview David Draine, Senior Officer Public Sector Retirement Systems Project The Pew Charitable Trusts More than 40 active,
More informationHousehold Income for States: 2010 and 2011
Household Income for States: 2010 and 2011 American Community Survey Briefs By Amanda Noss Issued September 2012 ACSBR/11-02 INTRODUCTION Estimates from the 2010 American Community Survey (ACS) and the
More informationInstallment Loans CHARTS. No cap other than unconscionability:
NCLC NATIONAL CONSUMER LAW CENTER Installment Loans WILL STATES PROTECT BORROWERS FROM A NEW WAVE OF PREDATORY LENDING? Copyright 2015, National Consumer Law Center, Inc. CHARTS CHART 1 Full APRs Allowed
More informationState, Local and Net Tuition Revenue Supporting General Operating Expenses of Higher Education, U.S., Fiscal Year 2010, Current (unadjusted) Dollars
State, Local and Net Tuition Revenue Supporting General Operating Expenses of Higher Education, U.S., Fiscal Year 2010, Current (unadjusted) Dollars Net Tuition $51.3 Billion 37% All State Support $73.7
More informationLIFE AND ACCIDENT AND HEALTH
201 FOR THE YEAR ENDED DECEMBER 1, 201 LIFE AND ACCIDENT AND HEALTH 201 Schedule A - Part 1 - Real Estate Owned Schedule A - Part 2 - Real Estate Acquired and Additions Made Schedule A - Part - Real Estate
More informationAmerican Memorial Contract
American Memorial Contract Please complete all pages of the contract and send it back to Stephens- Matthews with a copy of each state license you choose to appoint in. You are required to submit with the
More informationUpdate: 50-State Survey of Retiree Health Care Liabilities Most recent data show changes to benefits, funding policies could help manage rising costs
A fact sheet from Dec 2018 Update: 50-State Survey of Retiree Health Care Liabilities Most recent data show changes to benefits, funding policies could help manage rising costs Getty Images Overview States
More informationHighlights. Percent of States with a Decrease in MH Expenditures from Prior Year: FY2001 to 2010
FY 2010 State Mental Health Revenues and Expenditures Information from the National Association of State Mental Health Program Directors Research Institute, Inc (NRI) Sept 2012 Highlights SMHA Funding
More informationData Note: What if Per Enrollee Medicaid Spending Growth Had Been Limited to CPI-M from ?
Data Note: What if Per Enrollee Medicaid Spending Growth Had Been Limited to CPI-M from 2001-2011? Rachel Garfield, Robin Rudowitz, and Katherine Young Congress is currently debating the American Health
More informationNon-Financial Change Form
Non-Financial Change Form Please Print All Information Below Section 1. Contract Owner s Information Administrative Offices: PO BOX 19097 Greenville, SC 29602-9097 Phone number (800) 449-0523 Overnight
More informationRequired Minimum Distribution Election Form for IRA s, 403(b)/TSA and other Qualified Plans
Required Minimum Distribution Election Form for IRA s, 403(b)/TSA and other Qualified Plans For Policyholders who have not annuitized their deferred annuity contracts Zurich American Life Insurance Company
More informationFinal Paycheck Laws by State
ALABAMA AL No Provision No Provision ALASKA AK 23.05.140(b) ARIZONA AZ Ariz. Rev. Stat. 23-350, 23-353 ARKANSAS AR Ark. Code Ann. 11-4-405 CALIFORNIA CA Cal. Lab. Code 201 to 202, 227.3 COLORADO CO Colo.
More informationHealth Insurance Price Index for October-December February 2014
Health Insurance Price Index for October-December 2013 February 2014 ehealth 2.2014 Table of Contents Introduction... 3 Executive Summary and Highlights... 4 Nationwide Health Insurance Costs National
More informationUniversity of Wisconsin System SFS Business Process AP /1042s/Tax Bolt-On
Contents 1099/1042-S Tax Bolt-On Process Overview... 1 Process Detail... 2 I. Search/Update for Existing Value 1099 / 1042 Records on the Bolt-On table... 2 II. Enter a New 1099/1042s records into the
More informationLong-Term Care Partnership Overview & Training Requirements Guide
Long-Term Care Insurance Mutual of Omaha Insurance Company SM Long-Term Care Partnership Overview & Training Requirements Guide 75014 Version November 16, 2015 For producer use only. Not for use with the
More informationkaiser medicaid and the uninsured commission on The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis
kaiser commission on medicaid and the uninsured The Cost and Coverage Implications of the ACA Expansion: National and State-by-State Analysis Executive Summary John Holahan, Matthew Buettgens, Caitlin
More informationLong-Term Care Partnership Overview & Training Requirements Guide
Long-Term Care Partnership Overview & Training Requirements Guide Version Sept. 12, 2012 M28108 Contents LONG-TERM CARE PARTNERSHIP OVERVIEW & TRAINING REQUIREMENTS GUIDE Long-Term Care Partnership Overview...4
More informationIncome from U.S. Government Obligations
Baird s ----------------------------------------------------------------------------------------------------------------------------- --------------- Enclosed is the 2017 Tax Form for your account with
More informationMay Complaint snapshot: Debt collection
May 2018 Complaint snapshot: Debt collection Table of contents Table of contents... 1 1. Complaint volume... 2 1.1 By product... 3 1.2 By state... 8 2. Product spotlight: Debt collection... 11 2.1 Complaints
More informationJH Insurance Licensing Guide
JH Insurance Licensing Guide Insurance policies and/or associated riders and features may not be available in all states. Life insurance is underwritten by John Hancock Life Insurance Company (U.S.A.),
More informationNavigating ZPIC Audits: Challenges and Solutions for Health Care Providers
Navigating ZPIC Audits: Challenges and Solutions for Health Care Providers American Health Care Association (AHCA) Scot T. Hasselman and Rahul Narula April 24, 2012 Navigating ZPIC Audits Today s Topics
More informationNew Agent Welcome Kit
New Agent Welcome Kit 4301 Morris Park Drive Mint Hill, NC 28227 (704) 568-9649 (866) 568-9649 messerfinancial.com The Trusted Partner For Talented Agents This is the foundation that MESSER Financial was
More informationSystematic Distribution Form
Systematic Distribution Form (To be used for all Qualified Plans, IRA s and Non-Qualified Plans) (This form is not applicable to a Required Minimum Distribution ( RMD ). If you are older than 70 ½, refer
More informationFinancing Unemployment Benefits in Today s Tough Economic Times
Financing Unemployment Benefits in Today s Tough Economic Times Maurice Emsellem 7 th Annual Workers Voice State Legislative Issues Conference July 19, 2003. Today s Funding Situation The Good, the Bad
More informationTThe Supplemental Nutrition Assistance
STATE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PARTICIPATION RATES IN 2010 TThe Supplemental Nutrition Assistance Program (SNAP) is a central component of American policy to alleviate hunger and poverty.
More informationFISCAL YEAR 2016 AT A GLANCE Number of Authorized Firms
FISCAL YEAR 2016 AT A GLANCE Number of Authorized Firms 300,000 275,000 250,000 225,000 200,000 175,000 150,000 125,000 100,000 246,565 252,962 261,150 258,632 260,115 FY 2012 FY 2013 FY 2014 FY 2015 FY
More informationBY THE NUMBERS 2016: Another Lackluster Year for State Tax Revenue
BY THE NUMBERS 2016: Another Lackluster Year for State Tax Revenue Jim Malatras May 2017 Lucy Dadayan and Donald J. Boyd 2016: Another Lackluster Year for State Tax Revenue Lucy Dadayan and Donald J. Boyd
More information2017 WORKBOOK. Mandatory LTC Training
2017 WORKBOOK Mandatory LTC Training ABOUT THE AUTHOR EDUCATION CREDIT AND YOUR CERTIFICATE OF COMPLETION LTC Connection specializes exclusively in LTC insurance training and education and has been working
More informationMotor Vehicle Sales/Use, Tax Reciprocity and Rate Chart-2005
The following is a Motor Vehicle Sales/Use Tax Reciprocity and Rate Chart which you may find helpful in determining the Sales/Use Tax liability of your customers who either purchase vehicles outside of
More informationCRS Report for Congress
Order Code RS21071 Updated February 15, 2005 CRS Report for Congress Received through the CRS Web Medicaid Expenditures, FY2002 and FY2003 Summary Karen L. Tritz Analyst in Social Legislation Domestic
More informationInsufficient and Negative Equity
Insufficient and Negative Equity Lack Of Equity Impedes The Real Estate Market Mark Fleming Chief Economist December, 2011 70% 60% 50% 40% 30% Negative Equity Highly Concentrated Negative Equity Share,
More informationState Postal Abbreviation Codes
State Postal Areviation Codes State Areviation State Areviation Alaama AL Montana MT Alaska AK Neraska NE Arizona AZ Nevada NV Arkansas AR New Hampshire NH California CA New Jersey NJ Colorado CO New Mexico
More informationIMPORTANT TAX INFORMATION
IMPORTANT TAX INFORMATION To set up and maintain your account with WestconGroup, we require you to provide us valid Resale Certificates for all states that you are located in, as well as for any other
More informationMedicare Audit and Appeals: Practical Advice on Preparing for and Responding to RAC, ZPIC, and MAC Audits. February Overview
Medicare Audit and Appeals: Practical Advice on Preparing for and Responding to RAC, ZPIC, and MAC Audits February 2012 B. Scott McBride Baker & Hostetler LLP smcbride@bakerlaw.com Anna M. Grizzle Bass,
More informationNASRA Issue Brief: Employee Contributions to Public Pension Plans
NASRA Issue Brief: Employee Contributions to Public Pension Plans September 2017 Unlike in the private sector, nearly all employees of state and local government are required to share in the cost of their
More informationCommittee on Ways and Means Democrats
DRAFT Committee on Ways and Means Democrats Representative Sandy Levin - Ranking Member Report November 7, 2013 Millions of Unemployed Americans Will Lose Benefits Unless Congress Acts Over 3 Million Will
More informationTable PDENT-CH (continued) This measure identifies the percentage of children ages 1 to 20 who are covered by Medicaid or CHIP Medicaid Expansion
Table PDENT-CH. Percentage of Eligibles Ages 1 to 20 who Received Preventive Dental Services, as Submitted by States for the FFY 2016 Form CMS-416 Report (n = 50 states) State Denominator Rate State Mean
More informationPercent Corporate Dividend Received Deduction. Per Share Long-Term Capital Gain Distribution
First Trust Advisors L.P 120 East Liberty Drive, Suite 400 Wheaton, IL 60187 1-800-621-1675 Fund Name (Ticker Symbol) Ordinary Qualified Corporate Dividend Received Deduction Long-Term Capital Gain Distribution
More informationMedicaid & CHIP: February 2014 Monthly Applications, Eligibility Determinations, and Enrollment Report April 4, 2014
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Medicaid & CHIP: February 2014 Monthly Applications,
More informationState Retiree Health Care Liabilities: An Update Increased obligations in 2015 mirrored rise in overall health care costs
A brief from Sept 207 State Retiree Health Care Liabilities: An Update Increased obligations in 205 mirrored rise in overall health care costs Overview States paid a total of $20.8 billion in 205 for nonpension
More informationHow is the Affordable Care Act Leading to Changes in Medicaid Today? State Adoption of Five New Options
P O L I C Y B R I E F kaiser commission on medicaid and the uninsured How is the Affordable Care Act Leading to Changes in Medicaid Today? State Adoption of Five New Options May 2012 One primary goal of
More informationMonthly Complaint Report
August 2016 Monthly Complaint Report Vol. 14 Table of contents Table of contents... 1 1. Complaint volume... 2 1.1 Complaint volume by product... 3 1.2 Complaint volume by state... 7 1.3 Complaint volume
More informationAetna Medicare 2013 Benefits at a Glance
Aetna Medicare 2013 Benefits at a Glance 58.40.366.1-CVSP A Aetna Medicare Rx (PDP) Alabama, Arizona, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Illinois, Indiana,
More informationRequired Training Completion Date. Asset Protection Reciprocity
Completion Alabama Alaska Arizona Arkansas California State Certification: must complete initial 16 hours (8 hrs of general LTC CE and 8 hrs of classroom-only CE specifically on the CA for LTC prior to
More informationFinancial Transaction Form for IRA and Non-Qualified Contracts Only
Financial Transaction Form for IRA and Non-Qualified Contracts Only (Note: See Form ZA-8642 dealing with Financial Transactions for 403(b)/TSA s) Please Print All Information Below Zurich American Life
More informationWikiLeaks Document Release
WikiLeaks Document Release February 2, 2009 Congressional Research Service Report RS21071 Medicaid Expenditures, FY2003 and FY2004 Karen Tritz, Domestic Social Policy Division January 17, 2006 Abstract.
More informationDC Contributions to the DC College Savings Plan of up to $4,000 per year by an individual, and up to $8,000 per year by married taxpayers who each mak
AK AL AR Summary of State Tax Implications for 529 Plans Current as of 04/25/2018 This information has been compiled for informational purposes only from sources believed to be reliable, however LPL makes
More informationHealth and Health Coverage in the South: A Data Update
February 2016 Issue Brief Health and Health Coverage in the South: A Data Update Samantha Artiga and Anthony Damico With its recent adoption of the Affordable Care Act (ACA) Medicaid expansion to adults,
More informationMINIMUM WAGE INCREASE GUIDE
2017-2018 MINIMUM WAGE INCREASE GUIDE The Federal minimum wage has been $7.25 since 2009, but many states and localities have passed their own minimum wage laws. Employers must pay non-exempt employees
More informationFrequency and Severity Results by State
Frequency and Severity Results by State Based on Data Valued as of December 31, 2016 TABLE OF CONTENTS Executive Summary 2 Comparison to Trend Factors Used in Ratemaking 3 Method of Calculation 4 Caveats
More informationMINIMUM WAGE INCREASE GUIDE
2017-2018 MINIMUM WAGE INCREASE GUIDE The Federal minimum wage has been $7.25 since 2009, but many states and localities have passed their own minimum wage laws. Employers must pay non-exempt employees
More informationSURVEY OF STATE FUNDING FOR PUBLIC TRANSPORTATION
SURVEY OF STATE FUNDING FOR PUBLIC TRANSPORTATION SURVEY OF STATE FUNDING FOR PUBLIC TRANSPORTATION Characteristics of State Funding for Public Transportation The following report provides a summary of
More informationAetna Individual Direct Pay Commissions Schedule
Aetna Individual Direct Pay Commissions Schedule Cards Issued Broker Rate Broker Tier Per Year 1st Yr 2nd Yr 3+ Yrs Levels 11-Jan 4.00% 4.00% 3.00% Bronze 24-Dec 6.00% 4.00% 3.00% Silver 25-49 8.00% 4.00%
More informationHealth Coverage for the Black Population Today and Under the Affordable Care Act
fact sheet Health Coverage for the Black Population Today and Under the Affordable Care Act July 2013 As of 2011, 37 million individuals living in the United States identified as Black or African American.
More informationES Figure 1 Federal Medicaid Spending Under Current Law and the House Budget Plan, % Reduction in Spending $4,591
I S S U E P A P E R kaiser commission o n medicaid a n d t h e uninsured October 2012 National and State-by-State Impact of the 2012 House Republican Budget Plan for Medicaid John Holahan, Matthew Buettgens,
More informationNational Employment Law Project UNEMPLOYMENT INSURANCE FINANCING: STATE TRUST FUNDS IN RECESSION AS OF SEPTEMBER 30, 2008
National Employment Law Project UNEMPLOYMENT INSURANCE FINANCING: STATE TRUST FUNDS IN RECESSION AS OF SEPTEMBER 30, 2008 Introduction In May 2008, NELP issued a briefing paper (Unemployment Insurance
More informationAIG Benefit Solutions Producer Licensing and Appointment Requirements by State
3600 Route 66, Mail Stop 4J, Neptune, NJ 07754 AIG Benefit Solutions Producer Licensing and Appointment Requirements by State As an industry leader in the group insurance benefits market, AIG is firmly
More informationComparative Revenues and Revenue Forecasts Prepared By: Bureau of Legislative Research Fiscal Services Division State of Arkansas
Comparative Revenues and Revenue Forecasts 2010-2014 Prepared By: Bureau of Legislative Research Fiscal Services Division State of Arkansas Comparative Revenues and Revenue Forecasts This data shows tax
More informationFundamentals and Best Practices for Handling Multistate Taxation Presented Thursday, April 16, 2015
1 Fundamentals and Best Practices for Handling Multistate Taxation Presented Thursday, April 16, 2015 2 Housekeeping 3 Credit Questions Today s topic Speaker To earn RCH credit you must 4 Stay on the webinar,
More informationPresented by: Louisiana Department of Health Molina Medicaid Solutions
Presented by: Louisiana Department of Health Molina Medicaid Solutions The PERM program is designed to measure improper payments in the Medicaid and CHIP programs. During each PERM Cycle, CMS hosts multiple
More informationCheckpoint Payroll Sources All Payroll Sources
Checkpoint Payroll Sources All Payroll Sources Alabama Alaska Announcements Arizona Arkansas California Colorado Connecticut Source Foreign Account Tax Compliance Act ( FATCA ) Under Chapter 4 of the Code
More informationPercent Corporate Dividend Received Deduction. Per Share Long-Term Capital Gain Distribution
Tax First Trust Exchange-Traded AlphaDEX Fund II First Trust Emerging Markets AlphaDEX Fund (FEM) $0.683600 56.06% --- --- --- $0.063840 100.00% --- --- --- First Trust China AlphaDEX Fund (FCA) $0.683600
More informationThe table below reflects state minimum wages in effect for 2014, as well as future increases. State Wage Tied to Federal Minimum Wage *
State Minimum Wages The table below reflects state minimum wages in effect for 2014, as well as future increases. Summary: As of Jan. 1, 2014, 21 states and D.C. have minimum wages above the federal minimum
More informationMedicare Audit and Appeals: Practical Advice on Preparing for and Responding to RAC, ZPIC, and MAC Audits. February 2012
Medicare Audit and Appeals: Practical Advice on Preparing for and Responding to RAC, ZPIC, and MAC Audits February 2012 Presented by: B. Scott McBride, Esq. Baker & Hostetler LLP smcbride@bakerlaw.com
More informationMEDICARE PART D SPOTLIGHT
MEDICARE PART D SPOTLIGHT Part D Plan Availability in 20 and Key Changes Since 2006 Jack Hoadley, Juliette Cubanski, Elizabeth Hargrave, Laura Summer, and Tricia Neuman 1 NOVEMBER 200 (Updated 2 ) The
More informationMedicare. If you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely,
Medicare Beneficiary Services:1-800-MEDICARE (1-800-633-4227) TTY/ TDD:1-877-486-2048 Thank you for your recent request for the Patient s Request for Medical Payment form (CMS-1490S). Enclosed is the form,
More informationKentucky , ,349 55,446 95,337 91,006 2,427 1, ,349, ,306,236 5,176,360 2,867,000 1,462
TABLE B MEMBERSHIP AND BENEFIT OPERATIONS OF STATE-ADMINISTERED EMPLOYEE RETIREMENT SYSTEMS, LAST MONTH OF FISCAL YEAR: MARCH 2003 Beneficiaries receiving periodic benefit payments Periodic benefit payments
More informationState Individual Income Taxes: Personal Exemptions/Credits, 2011
Individual Income Taxes: Personal Exemptions/s, 2011 Elderly Handicapped Blind Deaf Disabled FEDERAL Exemption $3,700 $7,400 $3,700 $7,400 $0 $3,700 $0 $0 $0 $0 Alabama Exemption $1,500 $3,000 $1,500 $3,000
More informationHow Quickly are States Connecting Applicants to Medicaid and CHIP Coverage?
January 019 Issue Brief How Quickly are States Connecting Applicants to Medicaid and CHIP Coverage? Samantha Artiga and Maria Diaz Summary In November 018, the Centers for Medicare and Medicaid Services
More informationSTATE MOTOR FUEL TAX INCREASES:
STATE MOTOR FUEL TAX INCREASES: 2013-2018 Since 2013, 27 states have increased or adjusted taxes on motor fuel to support needed transportation investments. Twenty-four of those states increased their
More informationState Estate Taxes BECAUSE YOU ASKED ADVANCED MARKETS
ADVANCED MARKETS State Estate Taxes In 2001, President George W. Bush signed the Economic Growth and Tax Reconciliation Act (EGTRRA) into law. This legislation began a phaseout of the federal estate tax,
More informationAnnual Costs Cost of Care. Home Health Care
2017 Cost of Care Home Health Care USA National $18,304 $47,934 $114,400 3% $18,304 $49,192 $125,748 3% Alaska $33,176 $59,488 $73,216 1% $36,608 $63,492 $73,216 2% Alabama $29,744 $38,553 $52,624 1% $29,744
More informationMotor Vehicle Financial Responsibility Forms
Alphabetical Index Forms are listed alphabetically by form title. Important Note: The forms shown herein for each state may not be a complete listing of all the financial responsibility forms that are
More informationFederal Rates and Limits
Federal s and Limits FICA Social Security (OASDI) Base $118,500 Medicare (HI) Base No Limit Social Security (OASDI) Percentage 6.20% Medicare (HI) Percentage Maximum Employee Social Security (OASDI) Withholding
More informationSTATE SMALL BUSINESS CREDIT INITIATIVE: A SUMMARY OF STATES QUARTERLY REPORTS
STATE SMALL BUSINESS CREDIT INITIATIVE: A SUMMARY OF STATES QUARTERLY REPORTS DECEMBER 31, 2016 Summary Created by the Small Business Jobs Act of 2010 (P.L. 111-240) (the Act), the State Small Business
More informationIf you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely,
Thank you for your recent request for the Patient s Request for Medical Payment form (CMS 1490S). Enclosed is the form, instructions for completing it, and where to return the form for processing. Please
More information2014 SUMMARY OF BENEFITS
2014 SUMMARY OF BENEFITS First Health Part D Value Plus (PDP) Prescription Drug Plan S5569, S5768 Y0022_PDP_2014_S5569_S5768_SB accepted SECTION I INTRODUCTION TO SUMMARY OF BENEFITS Thank you for your
More informationFinancial Firsts: When Do People Take Their First Financial Steps? Appendix: Annotated Questionnaire 1
Financial Firsts: When Do People Take Their First Financial Steps? Appendix: Annotated Questionnaire 1 Conducted for AARP by at the University of Chicago through the Amerispeak Panel Interviews: 946 adults
More informationAnnual Compliance Questionnaire. Sample
Annual Compliance Questionnaire Create custom surveys or utilize pre-built Standard Forms to collect and analyze data regarding your reps annual compliance activities. More than just a database for warehousing
More informationMotor Vehicle Financial Responsibility Forms
Alphabetical Index Forms are listed alphabetically by form title. Important Note: The forms shown herein for each state may not be a complete listing of all the financial responsibility forms that are
More informationNational Vital Statistics Reports
National Vital Statistics Reports Volume 60, Number 9 September 14, 2012 U.S. Decennial Life Tables for 1999 2001: State Life Tables by Rong Wei, Ph.D., Office of Research and Methodology; Robert N. Anderson,
More informationThe Puzzling Decline in State Sales Tax Collections
The Puzzling Decline in State Sales Tax Collections Introduction This is the first of a series of papers that will investigate fiscal problems confronting the states. In spite of low unemployment rates,
More informationMedicare. If you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely,
Medicare Beneficiary Services:1-800-MEDICARE (1-800-633-4227) TTY/ TDD:1-877-486-2048 Thank you for your recent request for the Patient s Request for Medical Payment form (CMS- 1490S). Enclosed is the
More informationPlan documents are the final arbiter of coverage. Dental Accident Critical Illness Pets Best
Benefit Disclosures Accident, Critical Illness or Dental individual coverage may not be available in all states. These individual policies have exclusions and limitations and provisions regarding termination
More informationMedicaid & CHIP: August 2015 Monthly Applications, Eligibility Determinations and Enrollment Report
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Medicaid & CHIP: August 2015 Monthly Applications,
More informationThe Effect of the Federal Cigarette Tax Increase on State Revenue
FISCAL April 2009 No. 166 FACT The Effect of the Federal Cigarette Tax Increase on State Revenue By Patrick Fleenor Today the federal cigarette tax will rise from 39 cents to $1.01 per pack. The proceeds
More informationLegal Counsel and Representation of the Long-Term Care Ombudsman Program
Legal Counsel and Representation of the Long-Term Care Ombudsman Program Prepared by the National Association of State Units on Aging National Long-Term Care Ombudsman Resource Center National Citizens'
More informationUnderwriting Results by State. Based on Data Valued as of December 31, 2016
Underwriting Results by State Based on Data Valued as of December 31, 2016 TABLE OF CONTENTS Executive Summary 2 Introduction to the Underwriting Results by State 5 Underwriting Results by Component 6
More informationNASRA Issue Brief: Public Pension Plan Investment Return Assumptions
NASRA Issue Brief: Public Pension Plan Investment Return Assumptions Updated February 2017 As of September 30, 2016, state and local government retirement systems held assets of $3.82 trillion. 1 These
More informationBusiness Process Management for Government Helping Government Serve the People. MAXIMUS Federal Services RAC Summit December 5, 2013
Helping Government Serve the People MAXIMUS Federal Services RAC Summit December 5, 2013 MAXIMUS Federal Services RAC Summit QIC Program MAXIMUS Federal Services QIC Part A Appellant Tips/Best Practices
More informationMGA Contract Transmittal
MGA Contract Transmittal Agent Name: Producer Name (if known): Contract Type: Producer License Only Producer Distributor Contract Change Indicate Commission Level: Hierarchy (reports to): Name: Code: Name:
More informationQuality & Nondestructive Testing Industry. Salary Survey Your Path to the Perfect Job Starts Here.
Quality & Nondestructive Testing Industry Salary Survey 2011 Your Path to the Perfect Job Starts Here. ABOUT PQNDT PQNDT (Personnel for Quality and Nondestructive Testing) is the leading personnel recruitment
More informationMEDICAID BUY-IN PROGRAMS
MEDICAID BUY-IN PROGRAMS Under federal law, states have the option of creating Medicaid buy-in programs that enable employed individuals with disabilities who make more than what is allowed under Section
More informationPay Frequency and Final Pay Provisions
Pay Frequency and Final Pay Provisions State Pay Frequency Minimum Final Pay Resign Final Pay Terminated Alabama Bi-weekly or semi-monthly No Provision No Provision Alaska Semi-monthly or monthly Next
More information