|
In August 2007, the Department of Health and Human Services announced a two-year demonstration project by the Centers for Medicare & Medicaid Services (CMS) to develop or demonstrate improved methods for the investigation and prosecution of fraud in the provision of care or services under the health programs established by the Social Security Act. CMS will now require infusion providers in several South Florida counties to immediately resubmit applications to be a qualified Medicare infusion therapy provider. Those who fail to reapply within 30 days of receiving a notice to reapply from CMS will have their Medicare billing privileges revoked. Infusion therapy providers that fail to report a change in ownership; have owners, partners, directors or managing employees who have committed a felony; or, no longer meet each provider enrollment requirement; will have their billing privileges revoked. Infusion providers that successfully complete the reapplication process may be subject to an enhanced review, including site visits, based on risk assessment. In July 2007, the U.S. Department of Health and Human Services announced plans to implement two demonstration projects involving the enrollment of certain Medicare providers and suppliers. One project will focus on home health agencies (HHAs) in Harris County, Texas, and the Greater Los Angeles area. The other demonstration will concentrate on suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in South Florida and the Greater Los Angeles area. The goal of the project is to strengthen the ability of the Centers for Medicare & Medicaid Services (CMS) to detect and prevent fraudulent activity. The documents below furnish detailed information on these demonstrations.
Page Last Modified: 07/28/2008 11:04:29 AM
Help with File Formats and Plug-Ins
Submit Feedback
|
Email
Print