Blog - Archive for Medicare Reimbursement

The Centers for Medicare and Medicaid Services (CMS) has the authority to revoke the enrollment of a Medicare provider or supplier for various reasons, such as non-compliance with Medicare enrollment requirements, exclusion by the Office of Inspector General (OIG), and felony convictions, among other grounds. In the event of revocation, the provider or supplier is Read more →

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The Centers for Medicare & Medicaid Services (CMS) will allow Licensed Marriage and Family Therapists (LMFTs) and Licensed Mental Health Counselors (LMHCs) to enroll as Medicare providers effective January 1, 2024 under provisions established in the Consolidated Appropriations Act of 2023. In order to enroll, providers must meet certain criteria, including: possession of a master’s Read more →

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The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has issued a proposal to establish additional staffing requirements for nursing homes. If approved, the proposal would implement national minimum nurse staffing standards. Nursing homes participating in Medicare and Medicaid would be required to provide residents with Read more →

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In light of the expiration of the Public Health Emergency (PHE) effective May 11, 2023, many flexibilities adopted during the PHE by many federal and state payers as well as government regulators will terminate. Recently, DEA proposed permanent rules for the prescribing of controlled medications via telemedicine.  During the PHE, DEA suspended the requirement that Read more →

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Recently, the Centers for Medicare & Medicaid Services (CMS) proposed a crucial revision to the 60-day overpayment rule, which could have a profound impact on Medicare participating providers and entities. Understanding these proposed changes is essential for healthcare providers to ensure compliance and avoid potential liability Current Overpayment Refund Rule Generally speaking, a provider must Read more →

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