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Recently Part B News gave you a heads-up on materials that you should store in case CMS audits your MIPS attestations. We got some added detail on the situation in a conversation with Lori Foley, managing principal with the PYA consultancy in Atlanta.
 
As part of an effort entitled the Regulatory Sprint to Coordinated Care, CMS and OIG released advance copies of proposed regulatory changes on Oct. 9. The proposed rules would modify regulations that have presented obstacles to physicians, hospitals and other providers as they transition away from traditional fee-for-service (FFS) payment models toward value-based arrangements.
 

Medicare doesn't pay for "P-stim," but this Willow Street, Pa., provider gave it shot, and is now paying the feds $178,000 to get out from under a False Claims Act rap.
 

Benjamin David Danneman, 37, of Eureka, Mo., was employed by at least three local health care organizations that should be conferring with lawyers now. On June 12, Danneman was sentenced to 57 months in prison for working for them as a nurse and, in one case, as an assistant director of nursing without a nursing license.

A practice that follows the rules for incident-to billing can expect 100% of reimbursement for a non-physician practitioner’s (NPP) services reported under a physician’s provider number, rather than 85% billed under the NPP’s ID. A practice that breaks the rules for incident-to billing can expect trouble.

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