Hospice Successful Overpayment Appeal
Successful Appeal of CMS overpayment determinations against Hospice provider.
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Florida Health Care Clinic license application submission on behalf of health care providers.
Florida Health Care Clinic license application submission on behalf of health care providers should be handled by experienced health care attorneys.
Read MoreAppeal of UPIC Audit Overpayment Determinations – A Multi-Step Approach
Mr. Gaitan is available to discuss his strategies and legal costs, including hourly and contingency fee arrangements with provider’s who have received a records request or have received an overpayment determination and demand letter from their MAC or would like to more about the process. Initial consultation fee is waived. Feel free to contact Rafael (Ralph) Gaitan, Esq. at (786) 440-8115 or via email at [email protected]
Read MoreSuccessful Appeal of Medicare Extrapolated Overpayments – Saving Millions of Dollars.
Recently, the Firm has successfully challenged Medicare extrapolated overpayments resulting in various favorable decisions saving our clients (hospice and home health agencies) millions of dollars in overpayment amounts recouped by CMS or paid back via voluntary extended repayment plans. The Firm’s successful appeals resulted in complete removal of the statistical overpayments reducing any amounts owed
Read MoreAppeal of CMS Revocation and Enrollment Bar – Physicians Take Note.
The Centers for Medicare & Medicaid Services allows for the enrollment of various types of providers to participate in the Medicare program for reimbursement of medical services provided to beneficiaries. Typically, physicians get credentialed into the Medicare program through their employers. The employer’s staff prepares and assists with the submission of the physician’s initial enrollment
Read MoreAppealing 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
Read MoreTelehealth Services Amid COVID-19 and Flexibility to Waive Co-pays, Coinsurance, and Deductibles.
Waiver of Telehealth co-pays, coinsurance, and deductibles during COVID-19 Outbreak.
Read MoreResponding 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
Read MoreIs 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
Read MoreReminder – 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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