CMS-HINN 12 Instructions Hospitals provide Hospital-Issued Notices of Noncoverage (HINNs) to beneficiaries prior to admission, at admission, or at any point during an inpatient stay if the hospital determines that the care the beneficiary is receiving, or is about to receive, is not covered because it is: Not medically necessary; Not delivered in the most […]
CMS Final Rule on NRPCMR This Final Rule regards Termination of Non-Random Prepayment Complex Medical Review. A provider or supplier may be terminated from this program by these criteria. Published in Federal Register on Sep 26, 2008. These regulations are effective Jan 1, 2009. Click for the Federal Register publication
IRS Can Levy Medicare Payments Effective October 1, 2008, Medicare payments to physicians may be reduced by the amount of tax owed to the IRS. This directive impacts providers submitting claims to Medicare contractors for services provided to Medicare beneficiaries. Click to view Pub 100-20 One Time Notification Click to view MLN Matters News Flash