CMS Issues Transmittal on Enrollment Denials for an Existing Overpayment
The Centers for Medicare & Medicaid Services (CMS) recently issued a transmittal revising section 15.13 of Chapter 15 of the…
A New Compliance Challenge: Appealing Medicare Claims Denials
Compliance with all the legal, regulatory, and program requirements relating to provider/supplier participation in the Medicare program is an ongoing…
CMS Proposes to Increase Reward for Medicare Fraud Whistleblowers
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule that would reward whistleblowers up to $9.9…
The Medicare Appeals Process – Is It Working in 2013?
I. Background Health care providers, suppliers, and beneficiaries may appeal the denial of claims for payment under Medicare Parts A,…
CMS Publishes an Interim Final Rule to Revise the EHR Incentive Program
The Centers for Medicare & Medicaid Services (CMS) updated requirements for participants in the Medicare and Medicaid Electronic Health Record…
HHS Issues Final Stage 2 Meaningful Use Requirements
The Department of Health and Human Services (HHS) released the meaningful use requirements for Stage 2 of the Electronic Health Records…
CMS Releases Meaningful Use Stage 2 Requirements.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on the meaningful use Stage 2 requirements set forth…
CMS Outlines Attestation and Payment Process for Medicare EHR Incentive Program.
The Centers for Medicare & Medicaid Services’ (CMS) Medicare Electronic Health Record (EHR) Incentive Program began on April 18. CMS…
Letter to State Medicaid Directors Addresses a Change to Medicaid EHR Incentive Program.
The Centers for Medicare & Medicaid Services (CMS) issued a letter on April 8 to state Medicaid Directors outlining changes…
CMS Implements New Risk Based Enrollment Screening Process.
The Centers for Medicare & Medicaid Services (CMS) recently implemented a new, risk-based screening system to process provider and supplier…
CMS Incorporates Visitation Rights into Conditions of Participations for Hospitals
The Centers for Medicare & Medicaid Services (CMS) recently revised the Conditions of Participation (CoP) for hospitals and critical access…
Compliance and Program Integrity Under Health Care Reform
This article discusses the key factors to consider for compliance programs as a result of health care reform. About the…