tci Medicare Compliance & Reimbursement - 2005 Issue 33

PHYSICIANS: Medicare Offering Exemption Waivers

Burden on provider to prove patient hardship.A new proposal might play a big role in saving doctors from a harsh HHS Office of Inspector General ruling.The Centers for Medicare and Medicaid Services published a proposed rule in the Aug. 4 Federal Register that allows the agency to ask the OIG to waive a Medicare program exclusion on behalf of a provider. CMS is seeking public comments until Oct. 3, 2005 to fill in many of the details in the proposed rule.To benefit from CMS' mercy, a physician would have to prove that the exclusion from Medicare...

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