The Blog

07 Mar

Appealing CMS Revocations & Placement on Preclusion Lists

Physicians, physician groups and other medical practices please take notice and action to correct, if needed, your compliance programs and credentialing departments. As a regulated individuals or entities participating in the Medicare program, proactive compliance checks or screenings are important to receiving and responding to time sensitive documentation issued by or on behalf of the

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29 Jan

Responding to the Omissions Notice.

The changes in Florida’s Medicaid enrollment and participation rules and regulations require that many previously unlicensed behavior analysis entities seek either licensure as health care clinic or seek exemption from licensure. See our previous post for additional facts regarding same here. As a result, many behavior analysis providers will need to file for licensure with

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15 Jan

Is it the ENDS for flavored cartridge-based products?

The U.S. Food and Drug Administration (FDA) on January 2, 2020, issued a policy prioritizing enforcement against flavored e-cigarette products that are manufactured and marketed in a manner that appeal to minors because the are flavored or marketed to taste or look like popular cereals, juices, or candies. Since implementation of the FDA’s premarket authorization

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10 Jan

Reminder – Deadline for Licensure required of Behavior Analysis Providers

Starting the New Year in 2020 means that Behavior Analysis providers in Florida will need to have a health care clinic license or exemption from licensure in order to avoid possible Medicaid payment interruptions. The deadline for compliance is July 1, 2020, however, the time to submit an application is now. For additional information regarding

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29 Oct

How to Avoid Medicare Payment Interruptions After January 1, 2020

Attention Medicare providers! if you want to continue receiving Medicare payments without delay please ensure that your practice or billing provider is using MBIs for all Medicare transactions as soon as possible and prior to January 1, 2020. As you may recall, The Centers for Medicare and Medicaid Services (CMS) is requiring that “physicians, providers,

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18 Oct

Changes to the Amount in Controversy Thresholds for Medicare Appeals

Beginning on or after January 1, 2020, the amount in controversy needed by Medicare providers will change as follows: $170 for Administrative Law Judge (ALJ) hearings. (2019 – $160) $1,670 for judicial review (2019 – $1,630) The Center for Medicare and Medicaid Services (CMS) every year announces annual adjustments to the amount in controversy threshold

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