Hospice Successful Overpayment Appeal
Successful Appeal of CMS overpayment determinations against Hospice provider.
Read MoreCategory Archives: Medicaid
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 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 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
Read MoreAttention Behavior Analysis Providers – The July 1, 2020, Deadline for Medicaid Compliance is Rapidly Approaching.
All Behavior Analysis group providers will need to establish proof of compliance with the health clinic licensure requirements in order to continue receiving payments from the Florida Medicaid program.
Read MoreTo Be or Not to Be – That is to be licensed as a Florida Health Care Clinic or to file for Exemption form Licensure.
Do not wait to speak to an experienced health care attorney for assistance with filing for a health care clinic license or exemption from licensure with Florida’s Agency for Health Care Administration.
Read MoreHome Health Agencies no longer under CMS moratorium
As of January 30, 2019, there are no active Medicare Provider Enrollment Moratoria in any State, including Florida, or U.S. territories. On July 31, 2013, the the Centers for Medicare and Medicaid Services (CMS) first issued a temporary moratorium which affected providers who desired to or where in the process of enrolling as a home
Read MoreHow to respond to a Final Audit Report (FAR)
Florida health care providers that provide services to Medicaid recipients are likely, at some point, to receive an audit of their claims submitted to the Medicaid program for reimbursement. Some providers will, for any number of reasons, receive a preliminary audit report detailing the Agency for Health Care Administration’s (Agency) findings as well as setting
Read MoreResponding to Record Requests on a Timely Basis.
Health care providers are increasingly seeing request for records from all types of payors including but not limited Medicaid, Medicare and commercial insurance providers. The basis for receiving a requests for records could be as a result on any number of reasons, including compliance, aberrant billing practices or as a result of a ZPIC audit
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