Don't Let Your Medicare Status Slip Away

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Nov 18, 2010
60 Minutes
Product Description

It's tougher than ever to obtain and maintain enrollment in Medicare -- and you can't afford to be denied, or lose your enrollment altogether.

  • The PPACA authorizes CMS to obtain more background information regarding new providers.
  • Carriers are obligated to conduct re-certifications for virtually all providers.
  • Carriers and fraud contractors are more aggressive in denying or suspending status based on incomplete applications or missing information.
  • Auditors are now allowed to expand onsite reviews and to immediately suspend providers for problems like disconnected phones, inactive locations, and the like.

Can you leap these hurdles alone?

As a Provider, you do have recourse if you're wrongly tagged as deficient and end up with a negative change in enrollment status.

But you must act quickly and thoroughly to avoid reimbursement shut-down if you're going to rely on corrective action plans or appeals.

Join compliance expert and health care attorney, Wayne J. Miller Esq. as he discusses when enrollment may be denied or suspended, and when re-enrollment can be rejected, as well as CAP requirements, appeal options and other possible courses of action.

Take a look at what Wayne will cover:

  • What are the roles of fraud contractors in Medicare enrollment?
  • Little and big things leading to provider number suspension or revocation
  • New steps included in enrollment process that providers can't ignore
  • Preparing for an onsite enrollment or re-enrollment audit
  • Corrective action plan: What it is and when to use it to fix an enrollment or re-enrollment problem
  • What happens to existing claims if a provider number is suspended or revoked?
  • Appeal procedure to challenge a suspended or revoked provider number

Who should attend? Physicians, medical groups, hospitals, ancillary providers like diagnostic imaging centers, labs and therapists, administrators and health care consultants.

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About Our Speaker

Wayne J. Miller - Healthcare Compliance Expert

Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...   More Info
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