In December 2024, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking (NPRM)...
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April 14, 2025
In December 2024, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking (NPRM) to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule...
April 4, 2025
In the most recent CMS MLNConnects newsletter, the CMS published an article reminding providers and suppliers of the importance of reporting managing employees on your enrollment file. Managing employees are general managers, business managers,...
Audit Alert: SMRC adds surgical dressings to their current projects list
Noridian Healthcare Solutions, LLC (Noridian), as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare and Medicaid (CMS), announced that they are conducting post-payment review of Medicare DME surgical dressing claims billed...
February 10, 2025
Novitas Solutions, the National Provider Enrollment (NPE) contractor for the eastern United States recently published an article reminding DMEPOS suppliers to pay attention to the state licensure requirements when submitting an 855-S application or...
January 6, 2025
On December 21, 2024, the American Relief Act, 2025 was signed into law. The passing of this Act enables DMEPOS suppliers to continue to accept telehealth visits that qualify for reimbursement under Medicare for equipment that requires...
December 16, 2024
The HME industry is a vital part of the healthcare ecosystem, providing essential services and equipment to patients in need. However, navigating the complex landscape of audits and compliance can be challenging. While the goal is to grow your HME business,...
December 16, 2024
On April 22, 2024, the Office for Civil Rights (OCR) issued a Final Rule, entitled HIPAA Privacy Rule to Support Reproductive Health Care Privacy. The Final Rule strengthens the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy...
December 4, 2024
As part of your compliance program, providers should regularly check to ensure employees and business associates have not been identified as an excluded individual with the Office of Inspector General (OIG). The OIG has the authority to exclude individuals...
November 21, 2024
Noridian Healthcare Solutions, LLC (Noridian), as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare and Medicaid (CMS), announced that they are conducting post-payment review of Medicare DME intermittent...
November 4, 2024
As a Medicare enrolled supplier/provider, you have the option to choose to be a participating or non-participating provider. When you’re a Medicare-participating provider: You are paid the full Medicare Physician Fee Schedule allowed...