Medicare Overpayments

Is the Secretary for the Department of Health and Human Services Going to Issue an 1135 Waiver?

Medicare, Medicaid & Private Payor Updates /

(November 2, 2012): As we recently discussed before the East Coast arrival of Hurricane Sandy, Social Security Act Section 1135 Waivers may ultimately be available for healthcare providers in affected areas of New York, New Jersey, Delaware, New England, and surrounding states. 1135 Waivers exist to temporarily waive billing and participation requirements for healthcare providers […]

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Individual Liability for Medicare Overpayment Claims

Medicare, Medicaid & Private Payor Updates /

(October 19, 2012): This article addresses the case where an individual or “natural person” owns an interest in a Medicare health care provider which is incorporated[1] under the laws of a state, as a corporation, limited liability company, limited partnership, or another type of legal person. The individual may be a shareholder, member, limited partner,

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CMS Issues Proposed Rules About Returning Medicare Overpayments

Medicare, Medicaid & Private Payor Updates /

(February 22, 2012):  The proper handling of Medicare overpayments is an essential responsibility of all participating providers.  Late last week, the Centers for Medicare & Medicaid Services (CMS) released an important proposed rule in the Federal Register that could dramatically affect all healthcare providers, Third-party billers and other entities involved in the healthcare industry. The proposed rule,

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