Part B News | Editors' Blog

New CMS overpayments lookback period: Is it six years – or 10?

by: Roy Edroso Feb 26, 2016

One of the few silver linings for providers in the final overpayments rule is that the “look-back” period within which CMS will go after provider overpayments was reduced to just six years. But that won’t necessarily stop federal prosecutors from going after them for longer.

Proposed enrollment rule will have practices rethinking relationships

by: Julia Kyles, CPC Feb 26, 2016

What’s the worst thing that could happen to a practice if one of its partners hasn’t refunded and overpayment to the state’s Medicaid program? Under the proposed enrollment rule released on Feb. 25, the practice could have its application denied or revoked if it doesn’t report the debt during the enrollment or revalidation process.

Hardship exception for meaningful use pushed back to July 1

by: Roy Edroso Feb 26, 2016

On Feb. 26, CMS announed it was extending the deadline to apply for a hardship exception for its Medicare EHR Incentive Program from March 15 to July 1.

Physician Compare - 2016 data will reflect all reporting methods

by: Julia Kyles, CPC Feb 23, 2016

More providers will appear on Medicare's Physician Compare site at the end of the year, so keep an eye out for a notice asking you to review the information CMS intends to publish for you.

NGS: Some advance care planning claims denied for POS will be paid

by: Roy Edroso Feb 22, 2016

A Medicare contractor is expanding the range of place of service (POS) codes they'll accept on advance care planning codes -- and will reverse denials made on those grounds.

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