On Monday, the comment period for the Centers for Medicare & Medicaid’s (CMS) Section 111 Civil Money Penalties (CMPs) proposed rule closed. Entities that are responsible for complying with Section 111 reporting, and subsequently which may be subject to CMPs are referred to as Responsible Reporting Entities (RREs). These entities must provide specific data on […] Continue
Earlier this week, in an effort to help reduce the exposure of outside activities for our at-risk population, the Social Security Administration (SSA) announced that local offices are now closed to the public for in-person service. The press release can be found here. Local offices will continue to provide critical services over the phone. In […] Continue
On Monday, the New York State Workers’ Compensation Board issued a bulletin that announced that the Board would no longer approve Section 32 Waiver Agreements that required the claimant to indemnify and hold the Carrier harmless for any payment made by Medicare for treatment of claimant’s work-related injuries before the execution of the Agreement. The […] Continue
The Medicare Medicaid SCHIP Extension Act of 2007 (MMSEA) imposed Mandatory Insurer Reporting obligations on all Responsible Reporting Entities (RREs) when enacted in 2009. These mandatory requirements specifically imparted obligations on all RREs and required entities to provide the Centers for Medicare & Medicaid Services (CMS) with data on claims that involve Medicare beneficiaries. Furthermore, […] Continue
Yesterday, CMS issued a decision to cover acupuncture for Medicare patients with chronic low back pain (cLBP) to some extent. You may recall that CMS previously issued a proposed decision to cover acupuncture, as we discussed here on our blog. CMS’ final coverage decision memo can be found here, and indicates that acupuncture for chronic […] Continue