tci Medicare Compliance & Reimbursement - 2009 Issue 1

IN OTHER NEWS ... • You may have a few more hassle

• You may have a few more hassles to deal with as CMS tightens up its enrollment procedures. When a contractor denies an enrollment application or revokes billing privileges based on "adverse legal action," it now will search PECOS to see whether the provider or its principal owners and management have any other Medicare entity associations, CMS says in Dec. 19 CR 6097. If so, the contractor will initiate revocation procedures for the other providers, too. Contractors will also be pickier about home health agencies that share the same address. CMS strongly encourages site visits for HHAs listed...

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