Category
November 17, 2025
Denied durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claims can disrupt cash flow and patient care, but they don’t have to be the end of the road. Understanding the appeals process and preparing a strong response can... 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... 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 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 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... March 19, 2024 The Centers for Medicare & Medicaid Services (CMS) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations. Specifically, updates have been made to Medicare’s provider and supplier... October 3, 2023 By Kelly Grahovac, General Manager, The van Halem Group
In recent months, the Office of Inspector General (OIG) has been working to update their compliance guidance. This was first apparent in the revisions made to corporate integrity agreements (CIAs)... October 19, 2022 On Thursday, September 29, 2022, CMS formally announced the transition from the National Supplier Clearinghouse (NSC) to two new National Provider Enrollment Contractors (NPEC), Novitas Solutions (NPEast) and Palmetto GBA (NPWest). The contract...
