Durable Medical Equipment (DME) suppliers should be prepared and ready for a Unified Program Integrity Contractors (UPIC) audit. Medicare regulation is an extensive program, and being prepared before an audit …
The Centers for Medicare & Medicaid Services (CMS) began resuming the Comprehensive Error Rate Testing (CERT) program on August 11, 2020, after a temporary suspension due to the public health …
The advent of revised regulations for administrative law judge (ALJ) hearings of Medicare appeals includes a new request for ALJ hearing or review of dismissal form. Because the new form …
This week, the Office of Medicare Hearings and Appeals (OMHA) announced the launch of a new website which will allow providers to check the status of their ALJ appeals. The …
A newly released study by the federal General Accounting Office (GAO) found that the Centers for Medicare and Medicaid Services (CMS) needs to provide better oversight and guidance for provider …
Medicare Part B Providers will be able to appeal certain Medicare claims decisions without utilizing an administrative law judge, the Centers for Medicare & Medicaid Services announced Thursday. Settlement Conference …
It’s no secret that audits are out of control, but without data it’s hard to build a case. That’s the problem AAHomecare hopes to help the industry fix with its …
Industry stakeholders expect Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., to lead a group of lawmakers in introducing a bill this week that would require HME providers to obtain …
