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Featuring Piedmont Medical Billing Solutions, LLC
 
March 2007

In This Issue
Why is the CMS 1500 Form Being Changed?
 
Plaguing Issues
Doctor's Indicted for Billing Fraud
Student Success Story
Why is the CMS 1500 Claim Form Being Changed? 
Shawna Heaps 
The CMS 1500 form was not made to accommodate the NPI number. The National Uniform Claims Committee began the revisions to the 1500 Claim Form in June 2004 by identifying how to best accommodate the NPI with minimal changes to the current form. Two public comment periods were held to solicit feedback on the proposed changes to the form. All of the revisions made to the form were either NPI-related or a significant need for the change was identified.
 
Plaguing Issues
 
SEAN Weiss from the CMC Group talks with Republican U.S. Congressman from Georgia, in the 11th district, Phil Gingrey, M.D. He discusses the recent congressional intervening, Medicare Physician Fee Schedule and the long-term plan on how to best deal with the issues plaguing physicians.
 
9 Doctors Indicted for Billing Fraud
Shawna Heaps 
Santa Ana federal grand jury indicted nine doctors and nine others Wednesday on charges of performing unnecessary treatments on mentally ill and elderly adults, and for fraudulently billing Medicare for more than $12 million.
 
According to the indictment, from 2001 to 2004 the doctors allegedly paid recruiters to find patients for respiratory therapy, regardless of their need for treatment. The recruiters would target boarding facilities for the elderly and physically or mentally disabled, including Royal Healthcare, a 66-bed facility in Anaheim.
 

Student Success Story
Mary Ann Craig
Piedmont Medical Billing Solutions, LLC
Gastonia, NC
 
"Medical Billing was the last thing on my mind a few years ago..."
 
For 82 years and three generations of Craig's, my family has owned a car dealership.  I had "many hats to wear" within the dealership.  I was Director of Finance, Rebate Claims Administrator and Human Resources.  The automobile business was all I knew, then one day we decided it was time to sell.  The business had become very large and stressful.  I took some time off to unwind and to figure out what I wanted to do next in my life.  I knew I wanted to own my own business, I just didn't know what field to pursue.
 
I truly believe that God's way of being anonymous is through coincidence.  I saw a flyer in the mail about Medical Billing and decided to pursue it.  I first took a course that was good but it was teaching me things I didn't need at that time.  After I finished the course, they said I was ready to market my business.  OH NO I wasn't!
 
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