BC Advantage - 2015 Issue 5

Important New Concerns for Billing Companies, Providers, and Suppliers

New Authority for CMS To Deny Medicare Enrollment and Revoke Billing PrivilegesBy Victoria Heller Johnson and Edward J. CyranOn February 3, 2015, the authority of the Centers for Medicare & Medicaid Services (CMS) to deny Medicare enrollment and revoke Medicare billing privileges of providers and suppliers significantly expanded.  The breadth of these changes affects all providers and suppliers from hospitals to physician practices, as well as billing companies and coding professionals.   The goal of Final Rule 6045-F is to strengthen the integrity of the Medicare program and curtail the enrollment of fraudulent providers.  CMS also...

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