Christopher Brewer

Christopher Brewer

Poyner Spruill LLP

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North Carolina’s Medicaid RAC Program - Don't Let Your Guard Down

With Section 6411(a) of the Patient Protection and Affordable Care Act (ACA) and the Final Rules found at 42 CFR Part 455, the Recovery Audit Contractor (RAC) program has been expanded to the North Carolina Medicaid program,...more

9/11/2014 - Affordable Care Act Compliance Healthcare Hospitals Medicaid RACs

Hospitals File Lawsuit Over Medicare ALJ Hearings Delays

Over 460,000 appeals requesting hearings before an administrative law judge (ALJ) were pending in the Office of Medicare Hearings and Appeals (OMHA) at the end of 2013, with 15,000 new appeals being submitted each week. At...more

9/11/2014 - Healthcare Hospitals Medicare OMHA

Corridors Fall 2014 - News for NC Hospitals

In this issue: - North Carolina’s Medicaid RAC Program – Don’t Let Your Guard Down - A Primer on Medicare Requirements for Physician Supervision of “Incident to” Services - Hospital Options for Unused...more

9/10/2014 - Hospitals Long-Term Care Medicaid Medicaid Expansion Medicare Physicians

Shorts on Long Term Care - Summer 2014

In this issue: - Nursing Facility Survey Trends: Directed Plans of Correction, Privacy Violations and FTag 520 Quality Assurance Committee Citations - COBRA Meets ACA – Time to Update COBRA Notices -...more

7/25/2014 - Administrative Hearings Advance Directives Affordable Care Act COBRA Dual Eligibility Email Employer Liability Issues Healthcare Hospitals Long-Term Care Medicare Medicare Part C NLRB Patient Privacy Rights Plan of Correction

Hospitals File Lawsuit Over Medicare ALJ Hearings Delays

Over 460,000 appeals requesting hearings before an administrative law judge (ALJ) were pending in the Office of Medicare Hearings and Appeals (OMHA) at the end of 2013, with 15,000 new appeals being submitted each week. At...more

7/25/2014 - Administrative Hearings American Hospital Association Appeals HHS Hospitals Medicare OMHA

Medicare Part C Update: Co-Insurance Payments

Prior to the implementation of NC Tracks, the North Carolina Medicaid program would pay co-insurance for correctly filed claims for dual eligible residents (Medicare and Medicaid) who were covered primarily by Medicare Part C...more

7/25/2014 - Dual Eligibility Healthcare Medicaid Medicare Medicare Part C

CMS Announces "Pause" in RAC Audits

On Tuesday, 2/18/14, Centers for Medicare & Medicaid Services (CMS) announced on its website that it is “pausing” the Recovery Audit Program (RA Program) in preparation for the procurement of new Recovery Audit (RA) contracts...more

2/25/2014 - Audits CMS Healthcare RACs

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