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CMS Awards ZPIC Contract for Zone 6 to SafeGuard Services
CMS Awards ZPIC Contract for Zone 6 to SafeGuard Services The Centers for Medicare and Medicaid Services (CMS) has awarded the contract for Zone Program Integrity Contractor (ZPIC) services for Zone 6...
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ZPIC Audit — CMS Issues New Instructions to its Contractors Regarding the...
ZPIC Audit — CMS Issues New Instructions to its Contractors Regarding the Scope of Claim Appeals (October 15, 2015): In an effort to stem the ever-increasing tide of claim appeals, CMS recently issued...
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How has your Home Health Agency Implemented the New Face-to-Face Rules?
How has your Home Health Agency Implemented the New Face-to-Face Rules? (October 15, 2015): Many agencies have expressed relief that, effective January 1, 2015, the Centers for Medicare and Medicaid...
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CMS’ “Probe and Educate” Program is Underway for Home Health Agencies – Are...
CMS’ “Probe and Educate” Program is Underway for Home Health Agencies – Are You Prepared? The Centers for Medicare and Medicaid Services (CMS) has directed its contractors to initiate a “Probe and...
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Federal Court Boosts Hospitals on ALJ Appeals Issue
Federal Court Boosts Hospitals on ALJ Appeals Issue (February 23, 2016): The U.S. Court of Appeals for the District of Columbia Circuit recently issued a decision the Administrative Law Judge (ALJ)...
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CMS Expands Overpayment Claim Settlement Process to Include Part A Providers...
CMS Expands Overpayment Claim Settlement Process to Include Part A Providers With Pending ALJ Appeals (April 4, 2016) In an effort to reduce the enormous backlog of pending Administrative Law Judge...
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CMS Announces Home Health Pre-Claim Review Demonstration Project for Five States
CMS Announces Home Health Pre-Claim Review Demonstration Project for Five States (July 5, 2016) The Centers for Medicare and Medicaid Services (CMS) has announced a “Pre-Claim Review” demonstration...
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CMS Seeks to Overhaul Medicare Claim Appeal Process
CMS Seeks to Overhaul Medicare Claim Appeal Process (July 18, 2016) The Centers for Medicare and Medicaid Services (CMS) has announced a series of proposed changes to the Medicare administrative claim...
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CMS Awards Zone 6 ZPIC Contract to SafeGuard Services
CMS Awards Zone 6 ZPIC Contract to SafeGuard Services (August 15, 2015): The Centers for Medicare and Medicaid Services (CMS) has awarded the contract for Zone Program Integrity Contractor (ZPIC)...
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CMS Issues New Instructions to its Contractors Regarding the Scope of Claim...
CMS Issues New Instructions to its Contractors Regarding the Scope of Claim Appeals (October 15, 2015): In an effort to stem the ever-increasing tide of claim appeals, CMS recently issued new guidance...
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Medicare’s Home Health Probe and Educate Program is Underway
Medicare’s Home Health Probe and Educate Program is Underway (December 4, 2015): The Centers for Medicare and Medicaid Services (CMS) has directed its contractors to initiate a home health probe and...
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CMS Expands ALJ Appeal Claim Settlement Process to Include Part A Providers
CMS Expands ALJ Appeal Claim Settlement Process to Include Part A Providers (April 4, 2016) In an effort to reduce the enormous backlog of pending Administrative Law Judge (ALJ) appeals, the Centers...
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CMS Announces Home Health Pre-Claim Review Demonstration Project for Five States
CMS Announces Home Health Pre-Claim Review Demonstration Project for Five States (July 5, 2016) The Centers for Medicare and Medicaid Services (CMS) has announced a home health pre-claim review...
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CMS Seeks to Overhaul Medicare Claims Appeal Process
CMS Seeks to Overhaul Medicare Claims Appeal Process (July 18, 2016): The Centers for Medicare and Medicaid Services (CMS) has announced a series of proposed changes to the Medicare claims appeal...
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