CMS Strengthens Abuse Prevention Safeguards
The Centers for Medicare & Medicaid Services (CMS) is using new Affordable Care Act authority to combat fraud, waste, and abuse in the Medicare system. The agency announced new safeguards to...
View ArticleEnrollment Verification Soon Required for Part D Prescribers
At first glance, a recent announcement by the Centers for Medicare & Medicaid Services (CMS) seems to suggest that prescribers of Medicare Part D drugs have been given a six-month reprieve from...
View ArticleNew Medicare Opt-Out Law Requires Physicians and Practitioners to Act
As a result of changes made by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), valid opt-out affidavits signed on or after June 16, 2015 will automatically renew every two years....
View ArticleCMS Finalizes Standards for Issuers and Health Insurance Marketplaces
The Centers for Medicare & Medicaid Services (CMS) is creating a next generation risk adjustment model that will: (1) account for the number of individuals who had a Marketplace plan for less than...
View ArticleTips for Improved Documentation and Proper Payment
Several new Medicare Learning Network (MLN) fact sheets offer tips on provider compliance for certain items that regularly appear on the Office of Inspector General Work Plan due to a high level of...
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