Simi Botic

Simi Botic

Dinsmore & Shohl LLP

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Big Changes to Administrative Law Hearings for Medicare Providers

Effective October 27, 2014, the Medicare Program Integrity Manual (“Manual”) will require Medicare Administrative Contractors (“MACs”) to participate in administrative hearings concerning medical review decisions. ...more

10/22/2014 - Administrative Hearings CMS Healthcare Medicare

Overpayments to Skilled Nursing Facilities on the Rise

Nearly $2.5 billion dollars in overpayments were made to Skilled Nursing Facilities (“SNFs”) as a result of billing errors last year. The billing error rate for SNFs jumped to 7.7 percent, virtually doubling in 2013....more

9/25/2014 - Billing CMS Healthcare Overpayment Skilled Nursing Facility

Tips to Prepare for a CMS Electronic Health Record Meaningful Use Audit

In an effort to improve patient care, the Centers for Medicare and Medicaid Services (“CMS”) established electronic health record (“EHR”) Incentive Programs, which provide financial incentives for the “meaningful use” of...more

6/3/2013 - Audits CMS Compliance Electronic Medical Records Healthcare HIPAA Incentives

CMS Clarifies Physician Delegation of Tasks in SNFs and NFs

The Centers for Medicare and Medicaid Services (“CMS”) released an important instruction for physicians, non-physician practitioners (“NPPs”) and providers who bill for services provided in skilled nursing facilities (SNFs)...more

4/26/2013 - Billing CMS Healthcare Healthcare Professionals NFs Physicians SNF

CR7631: Changes to Place of Service Coding Effective April 1, 2013

After the OIG identified a high error rate for Place of Service (“POS”) modifiers over several years, the Centers for Medicare and Medicaid (“CMS”) issued a billing and coding revision (CR 7631) to instruct any physician,...more

2/7/2013 - CMS Medicaid Medicare OIG Physician Fee Schedule Place of Service Coding

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