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CMS Issues Transmittal Waiving Cap on Prior Year Payments for Nursing and Allied Health Education for Medicare Advantage Enrollees | King & Spalding

On March 16, 2023, CMS issued Transmittal 11904, directing its contractors to adjust hospitals’ nursing and allied health education (NAH) payments associated with services furnished to. ....

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Navigating the Medicare Overpayment Appeals Process

Providers that receive overpayment determinations should be aware of the various available options to be able to make good strategic decisions such as halting recoupment. Providers are under an obligation to report and refund any overpayment it identifies within 60 days. ....

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More on Understanding the Medicare Overpayment Appeals Process | Nelson Mullins Riley & Scarborough LLP

The initial article on this subject discussed generally why Medicare providers need to understand the Medicare administrative appeals process, especially in connection with overpayment. ....

Medicare Appeals Council , Notice Of Program Reimbursement , Nelson Mullins Riley Scarborough , Nelson Mullins Riley , Additional Documentation Requests , Medicare Administrative Contractor , Qualified Independent Contractor , Medicare Secondary Payer , Recovery Audit Contractor , Extended Repayment Schedule ,