Hall Render

JANUARY 12, 2023

On December 27, 2022, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that could potentially have a significant impact on enrollees’ obligations under the “60-day” overpayment rule. In fact, claims reviews to quantify an overpayment is a time-consuming effort and the six-month period is necessary.

Overpayments 40

Overpayments Overpayment Medicare Medicare 40

Hall Render

JUNE 22, 2022

CMS states a temporary adjustment is necessary to offset this overpayment. If you have questions or would like additional information about this topic, please contact: Robert Markette at (317) 977-1454 or rmarkette@hallrender.com; or. Your primary Hall Render contact. These changes will impact providers different.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

Healthcare Law Blog

JANUARY 5, 2023

The Proposed Rule includes changes on an array of topics including: Star Ratings, medication therapy management, marketing and communications, health equity, provider directories, coverage criteria, prior authorization, behavioral health services, identification of overpayments , requirements for valid contract applications, and formulary changes.

Medicare 52

Medicare Medicare Medicaid Medicaid 52