Tag: UPIC

CMS Revises Manual instruction Related to Misuse with the NOA

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 12595 to update various sections within Chapter 4 of the Medicare Program Integrity Manual, including the removal of references to Request for Anticipated Payment (RAP) suppressions. The CR also adds program integrity policies around abuses with the Notice of Admission (NOA). CMS…

Program Integrity Manual Updated for Identity Theft and Hospice Aggregate Cap Liability

The Centers for Medicare & Medicaid Services (CMS) recently released a new transmittal that updates the chapter of the Program Integrity Manual to address coordination between Medicare Administrative Contractors (MAC) and Unified Program Integrity Contractors (UPIC) in situations of hospice aggregate cap liabilities, as well as addressing Medicare liabilities in situations of provider identity theft.…

CMS Announces Expansion of Review Choice Demonstration to More States

Texas starts in December, North Carolina and Florida in 2020 Updated to include a statement from NAHC President William A. Dombi The Centers for Medicare & Medicaid (CMS) announced today that the next state to participate in the Review Choice Demonstration (RCD) is Texas and it will begin on December 2, 2019. In the same…

Review Choice Demonstration to Begin in Ohio on September 30, 2019

The Centers for Medicare & Medicaid (CMS) announced today that the next state to participate in the Review Choice Demonstration (RCD) is Ohio and it will begin on September 30, 2019. In the same announcement, CMS also stated it anticipates 60-90 days between beginning the demonstration in the remaining states of Texas, North Carolina and…