Search for: "CMS MEDICARE CLAIMS OFFICE"
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8 Feb 2018, 2:26 pm
This option is available for appellants with fewer than 500 total Medicare Part A or Part B claim appeals pending at the Office of Medicare Hearings and Appeals and the Medicare Appeals Council at the Departmental Appeals Board as of November 3, 2017 with a total billed amount of $9,000 or less per appeal, subject to other conditions. [read post]
20 Dec 2023, 5:00 am
Second, the final rule expands CMS’s authority to revoke and deny enrollment if a provider, supplier, or any owner, managing employee or organization, officer, or director has had a civil judgment under the False Claims Act (FCA) imposed against them within the previous 10 years. [read post]
17 Jul 2020, 10:39 am
” According to Medicare FFS claims data, use of telehealth services was 22% of beneficiaries in rural areas and 30% of beneficiaries in urban areas. [read post]
20 Jun 2011, 3:00 am
" For over 3 decades the Law Offices of Jon L. [read post]
5 Jun 2014, 6:30 am
§1395y (b) (2) (A) (ii), CMS/Medicare is the “secondary payer” in all workers’ compensation, no-fault and general liability claims. [read post]
5 Jun 2014, 6:30 am
§1395y (b) (2) (A) (ii), CMS/Medicare is the “secondary payer” in all workers’ compensation, no-fault and general liability claims. [read post]
3 Apr 2018, 12:54 pm
As previously reported, the LVA option is available for providers, physicians, and suppliers with fewer than 500 total Medicare Part A or Part B claim appeals pending at the Office of Medicare Hearings and Appeals and the Medicare Appeals Council as of November 3, 2017 with a total billed amount of $9,000 or less per appeal, subject to other conditions. [read post]
19 Jan 2021, 8:43 pm
Today, prepayment audits of Medicare claims are now conducted by MACs and other CMS contractors around the country. [read post]
1 Oct 2010, 5:47 am
A Federal District Court in Alabama has declared that the Centers for Medicare and Medicare Services (CMS) is limited to a 6 year statute of limitations in asserting as recovery / reimbursement claims under the Medicare Secondary Payer Act (MSP). [read post]
23 Jun 2008, 2:48 pm
Medicare set-asides and the new CMS rules regarding the liability side of the house will take effect in July 2009. [read post]
3 Oct 2016, 10:36 am
CMS’ announcement means that eligible providers will be able to to settle their inpatient status claims currently pending appeal. [read post]
3 Oct 2016, 10:36 am
CMS’ announcement means that eligible providers will be able to to settle their inpatient status claims currently pending appeal. [read post]
30 Apr 2012, 8:59 am
From July 2011 to February 2012 the Government Accountability Office (GAO) conducted a performance audit of the Centers for Medicare and Medicaid Services (CMS) efforts to strengthen the screening of providers and suppliers applying to take part in, and currently taking part in, the Medicare and Medicaid programs. [read post]
17 Jan 2017, 1:26 pm
In declining to finalize its proposal, CMS explains that there are certain claims not subject to a fee schedule where the Medicare fee schedule standard would not be appropriate. [read post]
26 Feb 2018, 10:09 am
As previously reported, this option is available for appellants with fewer than 500 total Medicare Part A or Part B claim appeals pending at the Office of Medicare Hearings and Appeals and the Medicare Appeals Council at the Departmental Appeals Board as of November 3, 2017 with a total billed amount of $9,000 or less per appeal, subject to other conditions. [read post]
18 Mar 2021, 3:43 am
Medicare Administrative Contractors A MAC processes Medicare Part A, Part B, or durable medical equipment (DME) claims for Medicare. [read post]
18 Jan 2017, 7:06 am
In the interim, there remain important obligations of parties to liability settlements and no-fault claims under the Medicare Secondary Payer Act. [read post]
17 Feb 2015, 3:14 pm
CMS has not yet finalized the process for claims made in 2015. [read post]
22 Mar 2020, 1:21 pm
On March 17, 2020, the Centers for Medicare & Medicaid Services (CMS) broadened access to Medicare telehealth services to allow Medicare patients to receive more services from their doctors without travel to a health care facility. [read post]
5 Apr 2017, 6:30 am
Directive To Deny Payment For Care Covered Under LMSA or NFMSA The announcement comes via the issuance of a CMS MLN Matters article directed to physicians and other medical providers submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries. [read post]
