The Centers for Medicare & Medicaid Services (CMS) has finalized the 60-day overpayment rule. I have attached the article I prepared for ACMS Legal Bulletin here.
Centers for Medicare & Medicaid Services
2013 Medicare Physician Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
The Centers for Medicare & Medicaid Services (CMS) finalized the Medicare physician fee schedule for 2013. Unless Congress intervenes, the rule implements a 26.5 percent reduction in Medicare physician payments in 2013 based on the sustainable growth rate (SGR) formula. MGMA will continue its steadfast advocacy efforts to repeal the flawed SGR formula, and…
CMS Approves Physician Recruitment Contracts with Restrictive Covenants
By Michael Cassidy on
Posted in Uncategorized
In CMS Advisory Opinion AO-2011-01, CMS has issued a favorable advisory opinion allowing the physician recruitment arrangement with a hospital and a physician practice which imposes a restrictive covenant upon the recruited physician.
Restrictive covenants and recruitment arrangements had initially been prohibited by the Stark Rules. However, bowing to industry comment, CMS amended the physician…
DMEPOS Accreditation Required September 30, 2009
By Michael Cassidy on
Posted in Medicare & Reimbursement
The Centers for Medicare & Medicaid Services (CMS) reminds Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers enrolled with the National Supplier Clearinghouse (NSC) they are required to obtain accreditation by September 30, 2009. Without accreditation, DMEPOS suppliers’ billing privileges will be revoked on or after October 1, 2009. Further, without accreditation, DMEPOS suppliers will not…
Alert!: CMS Warns of Physician Scam
By Michael Cassidy on
Posted in Medicare & Reimbursement
The Centers for Medicare & Medicaid Services (CMS) has become aware of a scam where perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (MAC). The fax instructs physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent…