With the new rule, CMS can reject a provider’s or supplier’s enrollment in Medicare, Medicaid or Children’s Health Insurance Program (CHIP) if they are affiliated with businesses that have had their enrollments revoked due to fraud, abuse or waste.
Once your practice is enrolled in Medicare, don’t just sit back and relax! There are certain business changes that must be reported to the Centers for Medicare & Medicaid Services (CMS) on a timely basis, or your practice risks suspension or losing eligibility for Medicare reimbursements.
In the world of medical credentialing, it’s essential to ensure that information and documentation are accurate. The best way to accomplish this is by using a primary source to verify provider credentials.
1st Assistant is excited to announce our new proprietary software product 1st Cred!
This sophisticated, comprehensive credentialing software has been developed BY credentialing professionals FOR credentialing professionals. 1st Cred contains complete processes for payer enrollment and primary source verification services.
March 1, 2016 seems like a long time ago. That is the date that the Federal Register published a proposed rule titled “Medicare, Medicaid and Children’s Health Insurance programs; Program Integrity Enhancements to the Provider Enrollment Process.”
It’s known as a TPE review. Have you heard of it? A Centers for Medicare & Medicaid Services (CMS) Targeted Probe and Education audit is a periodic review with the goal of reducing claim denials and appeals by providing claim review along with one-on-one provider education.
Do you have idle staff members looking for more work to do? Do you and your team have so much extra time that you are constantly creating busywork for them? In short, are you fulfilling all your payer enrollments, reenrollments and medical credentialing tasks perfectly, accurately and with plenty of time to spare?
The Centers for Medicare & Medicaid Services (CMS) has once again issued emergency instructions for providers and suppliers who submit claims to Medicare Administrative Contractors. The interim processes are applicable to beneficiaries who were affected by the November 30th Alaska earthquake.
As part of recently announced changes to Medicare requirements, covered in our earlier blog, the Centers for Medicare & Medicaid Services proposed collapsing the current Medicare billing structure for Evaluation and Management Services from 5 levels to 2.
Because President Trump declared that an emergency existed in Florida on October 9, 2018 and in Georgia on October 10, both as a result of the disastrous Hurricane Michael, the Centers for Medicare & Medicaid Services (CMS) authorized waivers in impacted areas of both states.