Search Results for: medicare deactivation

What is a Medicare Deactivation of Your Billing Privileges?

A Medicare participant’s billing privileges can be terminated or revoked for many reasons. [1]  Unfortunately, if the Centers for Medicare and Medicaid Services (CMS) revokes the Medicare billing privileges of a participating provider or supplier, the revocation action may be in effect for up to 10 years.  In comparison, if a provider’s Medicare billing privileges […]

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Agencies Around the Country are Facing Expanded Administrative Medicare Hospice Audits and Investigations - Liles Parker

Agencies Around the Country are Facing Expanded Administrative Medicare Hospice Audits and Investigations

Home Health & Hospice /

(November 5, 2024): It’s been a frustrating year for many Medicare hospice providers around the country. Throughout 2024, hospice agencies have been under the focused scrutiny of both program integrity[1] and administrative claims processing[2] contractors working for the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS). Unfortunately, the government’s

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Medicare Revocation Actions Related to Telemedicine Rising!

Medicare, Medicaid & Private Payor Updates /

(September 25, 2020):  In recent years, many individuals (especially younger members of our work force) have embraced the chance to supplement their income through short-term engagements in the “gig economy.”  Notably, both professionals and non-professionals alike have found flexible, part-time opportunities online, allowing them to work remotely as independent contractors.  A number of physicians, nurse

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Responding to a Medicare Revocation Action Effective Prior to November 4, 2019

Medicare, Medicaid & Private Payor Updates /

(UPDATE: March 9, 2020): A Medicare revocation action can destroy the financial viability of your practice. Moreover, effective November 4, 2019, the reasons for which a health care provider or supplier may have its Medicare billing privileges revoked have greatly expanded. Our article titled “42 CFR Sec. 424.535(a) Medicare Revocation Actions — Your Medicare Billing

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2014 HCFAC Report — $27.8 Billion Recovered for Medicare

Medicare, Medicaid & Private Payor Updates /

(March 23, 2015): Last week, the Department of Justice (DOJ) and Department of Health and Human Services (HHS) announced that they had recovered more than $27.8 billion to the Medicare Trust Fund due to the efforts of the Health Care Fraud and Abuse Control Program (HCFAC). As set out in the 2014 HCFAC Report, in

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Healthcare Law Representation

Liles Parker attorneys have decades of experience practicing health care law.  Several of our attorneys served as Federal prosecutors and held significant positions at the U.S. Department of Justice.  Our health care transactional and regulatory attorneys have the knowledge and counseling skills necessary to efficiently resolve your health care business issues at the lowest possible

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Small Business Administration Releases Express Bridge Loan Pilot Program for COVID-19

COVID-19 Updates, Medicare, Medicaid & Private Payor Updates /

(March 26, 2020): The Small Business Administration (“SBA”) announced an Express Bridge Loan Pilot Program on March 25, 2020.[1] The Express Bridge Loans are available to businesses, including health care providers, to provide economic relief for businesses impacted by the Coronavirus Disease (COVID-19) while they await long-term disaster financing.[2] I. Background: The Express Bridge Loan

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COVID-19 SBA Loan Support May be Available for Qualified Health Care Providers

COVID-19 Updates, Medicare, Medicaid & Private Payor Updates /

(March 25, 2020): The Small Business Administration (SBA) offers loans to small businesses through community lenders. The SBA acts as guarantor for these loans. In addition to the traditional lending, the SBA is also authorized to offer disaster assistance to businesses, renters, and homeowners who are located in regions with “declared disasters.”[1] Small businesses impacted

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Are you Ready for the Next Round of CMS Revalidation?

Medicare, Medicaid & Private Payor Updates /

(March 17, 2017): The Centers for Medicare and Medicaid Services (CMS) recently announced that it will be initiating its next round of CMS revalidation requests to all Medicare enrolled providers and suppliers. Current law and regulations require providers and suppliers to revalidate their enrollment with Medicare every five years (every three years for DME suppliers).

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