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New enrollment provisions overreach, attorneys say

December 24, 2014Theresa Flaherty, Managing Editor

BALTIMORE - Broad new enrollment provisions required by the Affordable Care Act could put HME providers at greater risk of losing their Medicare billing privileges, say industry attorneys.“(CMS has established) very nebulous criteria for taking really devastating action against providers,” said Elizabeth Hogue, a private practice attorney in Burtonville, Md. “It's very scary.”The provisions, released this month, allow CMS and its contractors to deny the enrollment of providers...

appeals, billing privileges, enrollment


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