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CMS Program Integrity Changes

CMS Announces Program Integrity Enhancements to the Provider Enrollment Process CMS announced a proposed rule for implementing additional provider enrollment provisions of the Affordable Care Act to help identify entities and individuals who pose risks to the Medicare program.  The provisions allow for identified high risks applicants to be kept out of the program...

CMS Revalidation Project — Cycle 2

The CMS Revalidation Project The Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. The Centers for Medicare & Medicaid Services (CMS) has completed its initial round of revalidations and will be resuming regular revalidation cycles in March 2016.  Individual healthcare providers...

What Telehealth Parity Laws Mean for Physicians

If you’re a physician looking into telehealth, you’ve probably had to learn a new vocabulary — from originating patient site to telepresenter. At the top of these must-know telemedicine-related terms is the telehealth parity law. Knowing a little about what telehealth parity laws are, and what their status is across the U.S. can go...