Payment Matters: CMS Issues Its Second Billing Compliance Newsletter for Fee for Service Providers and Suppliers


In an earlier issue of Payment Matters we advised readers that the Centers for Medicare and Medicaid Services (CMS) had commenced publishing a quarterly newsletter identifying billing issues based on problems identified in reviews conducted by Medicare Claims Processing Contractors, Recovery Audit Contractors, Program Safeguard Contractors, Zone Program Integrity Contractors, and other governmental organizations, such as the Office of Inspector General (OIG). The newsletter is intended for fee for service providers and suppliers, such as hospitals, physicians, skilled nursing facilities, labs, ambulance companies, and durable medical equipment, prosthetics, orthotics, and supplies suppliers. CMS recently issued its second compliance newsletter, which addresses seven billing issues that are discussed below. According to CMS:

The newsletter describes the problem, the issues that may occur as a result, the steps CMS has taken to make providers aware of the problem, and guidance on what providers need to do to avoid the issue.

Please see full article below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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