Hall Render

DECEMBER 27, 2023

Further, entities should review non-monetary compensation provided in 2023 to ensure that such compensation did not exceed the 2023 limit of $489 and take any necessary corrective action to repay excess amounts within 180 days of the overpayment or by December 31, 2023.

Hospitals 75

Hospitals Overpayments Overpayment Medicaid 75

Innovaare Compliance

JUNE 28, 2022

The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of CMS program audits in February 2022. This causes claims to providers to be paid incorrectly, which results in enrollees being overcharged for their coinsurance or delayed refund of overpayments. . Contact us today! .

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Hall Render

DECEMBER 6, 2022

As part of the final regulations released by the Centers for Medicare & Medicaid Services (“CMS”) effective January 19, 2021, CMS finalized a new exception for arrangements where an entity pays a physician less than $5,000 over the course of a calendar year in exchange for items or services. New Exception for Limited Remuneration.

COVID-19 40

COVID-19 Hospitals Overpayments Overpayment 40

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). CMS states a temporary adjustment is necessary to offset this overpayment. Submission of All-Payer OASIS Data.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

Healthcare Law Blog

MARCH 2, 2023

Effective March 1 st , certain providers choosing to self-disclose Stark Law violations must use forms updated by the Centers for Medicare & Medicaid Services (“CMS”). Once CMS acknowledges receipt of a provider’s SRDP submission, the provider’s obligation to report and return overpayments within 60 days is suspended. See 42 C.F.R.

Overpayments 52

Overpayments Overpayment Medicare Medicare 52

AIHC

MARCH 22, 2022

This may mean contacting your vendor to adjust settings in your practice management system to create more meaningful A/R management reports. Monitor Reports for Inappropriate Write-Offs Are accounts reconciled and overpayments identified and handled properly? Click Here to see if we have any upcoming classroom training camps!

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Healthcare Law Blog

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Health Equity in Medicare Advantage. We’ve summarized some of the key changes in the Proposed Rule.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Med League

MARCH 23, 2022

Upcoding Fraud: Upcoding is a kind of medical billing fraud that occurs when a provider sends a bill to Medicare or another payor for a more expensive service than the one actually performed. The sum of reimbursements for each code paid separately is higher than the reimbursement for the comprehensive code, causing an overpayment.

Medical Billing 40

Medical Billing Fraud Overpayments Overpayment 40