Revocation of Your Medicare Billing Privileges.
The Centers for Medicare and Medicaid Services (CMS) has engaged various types of outside contracting entities to perform program integrity functions on behalf of the Medicare program.
Indiana Opioid Prescribing Guidelines–Eff. July 1, 2017.
The CDC has noted that overdoses from prescription opioids have been a “driving problem” contributing to this problem.[2] In an effort to further address the opioid overdose crisis, in March 2016, the CDC published “CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016.”
Private Insurance Payors are Aggressively Conducting Acupuncture Audits
Over the past decade, the number of patients utilizing one or more complimentary or alternative care modalities has steadily increased. As patient demand for such services has grown, the percentage of payors including acupuncture in their plans as a covered service has also increased.
Home Health: Pre-Claim Review Demonstration Project
As the Centers for Medicare and Medicaid Services (CMS) has announced, the alleged error rate associated with home health claims has risen from 17.3 % in FY 2013 to 51.38% in FY 2014 and 58.95% in FY 2015. In light of these increases, CMS has taken steps to address the home health claims error rate.
Health Law Provider Updates
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Veterans Administration and CMS Announce Partnership to Address Fraud Prevention(January 25, 2018): On January 23rd, the Veteran Administration (VA) and the Centers...
Personal Care Services Are Under the Government’s Microscope(January 22, 2018): The Department of Health and Human Services, Office of...
Revocation of Your Medicare Billing Privileges.The revocation of your Medicare billing privileges can subject your practice...
UPIC / ZPIC Referrals to State Boards, Societies, Surveyors and QIOs(November 29, 2017): The Medicare and Medicaid programs are managed by the...
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