DecisionHealth, DecisionHealth - 2009 Issue 12 (December)

CMS rule changes will make appealing enrollment denials, revocations easier

You'll have an easier time appealing when your carrier denies your Medicare enrollment application or suspends your billing privileges, thanks to upcoming CMS rule changes. The agency lays out a slew of provider-friendly changes that offer you more chances to appeal and more information on why your enrollment was shot down or your billing privileges were revoked in Transmittal 316 to the Program Integrity Manual, released Dec. 4. These rule changes will take effect Jan. 4, 2010, CMS says.

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