The Health Law Firm
FEBRUARY 27, 2013
Our firm has been consulted recently by owners of different health care entities, including assisted living facilities (ALFs), group homes, home health agencies and even medical groups that had received Medicaid overpayment demands. This resulted in a Medicaid overpayment assessment.
Healthcare IT News - Telehealth
JUNE 8, 2022
As an example, under Section 1135 waivers, CMS has temporarily waived requirements that out-of-state telehealth practitioners must be licensed in the state where the patient is located when furnishing services in a state where the emergency is occurring. State government executive orders. Agency enforcement discretion. Federal rules.
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Healthcare IT Today
NOVEMBER 22, 2022
Licensed assistants in all 50 states can see patients—with varying degrees of supervision determined by state. The payer could also recoup the overpayments from future visits. . If overbilling happens with a commercial biller, the clinic could get a letter sent to the licensing board and be put on probation.
Health Law Blog
MAY 22, 2018
The two individuals owned a licensed substance abuse service provider (or treatment center) offering clinical treatment services for persons suffering from alcohol and drug addiction. Continuing to employ the medical director after the doctor’s license was suspended.
Health Care Law Brief
MAY 11, 2022
Inappropriately paid claims shall constitute overpayments as defined in the Medicaid regulations and may be recovered accordingly from the employer without recoupment from, or penalty to, any covered worker.
AIHC
SEPTEMBER 5, 2023
Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. This compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine.
YouCompli
DECEMBER 14, 2022
I’ve seen a very broad spectrum of relationships with physicians and licensed independent practitioners (LIPs) over the past 20 years. Here, any overpayment from a governmental payer source must be returned within 60 days of its identification. Physicians. I bet you have too.
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