[ this article was last updated on November 9, 2016 ] The Department of Health and Human Services (HHS) has issued final regulations prohibiting discrimination (under Section 1557 of the Affordable Care Act or ACA) on the basis of race, color, national origin, sex, age, or disability. The requirements apply to all health programs and… Continue readingContinue reading
Posts tagged medicare/medicaid
On February 12, 2016, the Centers for Medicare and Medicaid Services issued a Final Rule that specifies the time frame for reporting and returning overpayments. A new Section 1128J(d)(1) of the Affordable Care Act requires a person who has received an overpayment under parts A or B of the Medicare program to report and return… Continue readingContinue reading
New OIG Compliance Program Available!
As a condition of enrollment in Medicare, Medicaid and/or the Children’s Health Insurance Program (CHIP), the Affordable Care Act requires providers to establish a compliance program to prevent fraud, waste and abuse. While Eagle Associates has had an OIG Compliance Program available for many years, we have completely revised the program to provide a more… Continue readingContinue reading
CMS Fraud, Waste and Abuse Training Requirement for Medicare Advantage Participants
Medicare Advantage organizations are required to ensure that “first tier, downstream and related entities” complete CMS general compliance and fraud, waste and abuse (FWA) training. Practices are considered to be downstream entities of Medicare Advantage organizations, and the CMS training module must be provided as written, without modification, to all employees of a downstream entity…. Continue readingContinue reading