News & Analysis as of

Physicians MACs

Oberheiden P.C.

5 Defense Strategies for MAC/RAC Audits

Oberheiden P.C. on

Medicare pays billions of dollars in fraudulently billed claims each year despite the various tools the Medicare system has at its disposal. Because of this problem, the Centers for Medicare and Medicaid Services (“CMS”)...more

King & Spalding

CMS Updates Rules for Reporting Adverse Legal Action

King & Spalding on

On June 1, 2018, CMS issued further guidance for reporting and reviewing final adverse legal actions (ALAs) in provider enrollment applications. In Transmittal 797, which replaces Transmittal 784 to the Medicare Program...more

Baker Donelson

Moving? Selling? Don't Forget to Report Your CHOW to Medicare

Baker Donelson on

In a recent edition of MLN Connects, CMS reminded health care providers and suppliers of their obligation to report changes in ownership as part of their conditions of participation under Medicare....more

Chambliss, Bahner & Stophel, P.C.

Dentists Who Write Prescriptions Must Make a Decision: Enroll in Medicare or Opt-Out

If you are a dentist who writes prescriptions to Medicare beneficiaries for drugs covered under Medicare Part D, this article contains important information for you and your patients regarding your new enrollment requirements...more

McAfee & Taft

CMS authorizes contractors to deny ‘related’ claims of physicians who are not undergoing review

McAfee & Taft on

The Centers for Medicare and Medicaid Services (CMS) of the Department of Health and Human Services recently issued Transmittal 505 modifying Section 3.2.3 of the Medicare Program Integrity Manual. CMS employs a variety of...more

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