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Medicare Compliance & Reimbursement

See What the ACA Says About Compliance Programs

Published on Thu Aug 01, 2013

Review the following directive from the Affordable Care Act creating the requirement for formal compliance programs as a condition of participation with governmental insurers: Subtitle E — Medicare, Medicaid, and CHIP Program Integrity Provisions SEC. 6401. PROVIDER SCREENING AND OTHER ENROLLMENT REQUIREMENTS UNDER MEDICARE, MEDICAID, AND CHIP. ‘‘(7) COMPLIANCE PROGRAMS.— ‘‘(A) IN GENERAL. — On or after the date of [...]
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