tci Medicare Compliance & Reimbursement - 2006 Issue 24

HHAs: 'Substantial Compliance' Not Enough In Deferred Comp Reimbursement Case

Medicare manual rules, court says.If you want to fight the rules in the Medicare Provider Reimbursement Manual, you'll have a tough battle ahead.That's the lesson learned by Puerto Rican home health agency Visiting Nurse Association Gregoria Auffant Inc. (VNA) in a recent U.S. First Circuit Appeals Court decision. The VNA won't be seeing reimbursement from its mid-1990s deferred compensation plan, despite the fact that the Provider Reimbursement Review Board ruled in its favor in the case in 2002, according to the court decision released May 8 (No. 04-2721).Case history: Regional home health intermediary United Government...

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