Medicare Compliance & Reimbursement

Industry Note:

CMS Cracks Down on Medicare Providers Caught Overcharging Individuals in QMB

As Medicare shifts from fee-for-service and instead focuses on quality, value-based care under MACRA, CMS continues to push through mandates that protect the beneficiary from nefarious providers and suppliers. In a Nov. 18, 2016 MLN Matters article (MM 9817), a change request was made concerning keeping in compliance when billing a Qualified Medicare Beneficiary (QMB). The initiation of the QMB [...]
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