CMS Announces New Program Integrity Initiatives: More Recoupment Efforts Will be Forthcoming

By Nancy, on November 15th, 2011%

CMS announced today that  effective January 1, 2012 they will conduct demonstration projects designed to strengthen Medicare by aiming at eliminating fraud, waste, and abuse.   Three programs were announced: 

Recovery Audit Prepayment Review: The Recovery Audit Prepayment Review demonstration will allow Medicare Recovery Auditors (RACs) to review claims before they are paid to ensure that the . . . → Read More: CMS Announces New Program Integrity Initiatives: More Recoupment Efforts Will be Forthcoming

Leave a comment   Compliance, RACs   , , ,  

CMS Posts Listing of Providers Receiving Revalidation Notices

By Nancy, on November 11th, 2011%

CMS has posted a listing of providers and suppliers who have received enrollment revalidation requests under the Affordable Care Act initiative requiring all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria.  Under Section 6401 (a) of the ACA those providers who enrolled prior to March 25, 2011 are required . . . → Read More: CMS Posts Listing of Providers Receiving Revalidation Notices

Leave a comment   Compliance, General   , , , ,