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26 Mar 2020, 9:48 am
Liles Parker PLLC [read post]
26 Mar 2020, 7:43 am
Call Liles Parker, PLLC for a free consultation. [read post]
25 Mar 2020, 3:41 pm
Section 1135(b)(1)(C) allows for a waiver or modification of pre-approval requirements if prior authorization processes are outlined in detail in the State Plan for particular benefits Require fee-for-service providers to extend pre-existing authorizations through which a beneficiary has previously received prior authorization through the termination of the emergency declaration These are examples of the types of flexibilities that a state / territory can request but is not all… [read post]
25 Mar 2020, 10:00 am
B. [read post]
23 Mar 2020, 1:28 pm
” (Emphasis added.)[7] B. [read post]
16 Mar 2020, 1:32 pm
Liles Parker can assist in determining what your State Medicaid program covers. [read post]
9 Mar 2020, 10:26 am
42 CFR Sec. 424.535(a) Medicare Revocation Actions — Your Medicare Billing Privileges Can be Revoked For a Host of New Reasons. [read post]
9 Mar 2020, 10:26 am
CMS can revoke Medicare billing privileges of a physician or other eligible professional if it determines that there has been a pattern or practice of prescribing Part B or Part D drugs that is: Abusive or represents a threat to the health and safety of [read post]
3 Mar 2020, 11:07 am
§ 3729-3733(1)(A)-(D), the government can use a Civil Investigative Demand to require a person: (A) to produce such documentary material inspection and copying, (B) to answer in writing written interrogatories with respect to such documentary material or information, (C) to give oral testimony concerning such documentary material or information, or (D) to furnish any combination of such material, answers, or testimony. [read post]
17 Feb 2020, 9:01 am
Moreover, § 1834(a)(17)(B) bars payments to a DME supplier that knowingly submits a claim that was generated as a result of a prohibited telephone solicitation. [read post]
16 Oct 2019, 2:33 pm
Under § 6401(b)(5) of the statute: “Subtitle E—Medicare, Medicaid, and CHIP Program Integrity Provisions SEC. 6401. [read post]
8 Oct 2019, 2:00 pm
What is the CMS Preclusion List? [read post]
30 Sep 2019, 2:08 pm
CERT contractors are specifically tasked with the review of a sample of Part A and Part B claims that have been paid by a Medicare Administrative Contractor (MAC) or a Durable Medical Equipment (DME) MAC. [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
17 Sep 2019, 1:21 pm
A Civil Investigative Demand Issued to You or Your Medical Practice is Serious Business. [read post]
10 Sep 2019, 11:50 am
• Allen B. [read post]
10 Sep 2019, 11:50 am
• Allen B. [read post]
17 Aug 2019, 11:56 am
The Dangers of Billing Payors for the Services of a Non-Credentialed Dentist / Non-Participating Dentist (August 17, 2019): Over the last year, we have seen a significant increase in the number of Medicaid and private insurance audits of dental claims. [read post]
