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Month: February 2024

Coretactics 5-Claim Probe Experts Assist Before, During & After Your 5-Claim Audit!

Published February 23, 2024
CMS has authorization to revoke Medicare billing privileges under certain conditions. Regulation 42 CFR §424.535(a)(8)(ii) states CMS has the authority to revoke a currently enrolled provider or supplier’s Medicare billing privileges if CMS determines that the provider or supplier has a pattern or practice of submitting claims that fail to meet Medicare requirements.

Medicaid Compliance Certification Requirement Changes

Published February 13, 2024
Annual Certification Statement for Provider Billing Medicaid – A provider adopting and maintaining an effective compliance program will now attest to this as part of their annual “Certification Statement for Provider Billing Medicaid.” This Form must be completed and returned to NYSDOH by the enrollment anniversary date.

Amy E. Lee Receives ACHCA’s 2023 Education Award!

Published February 7, 2024
Amy E. Lee, President & CEO of Coretactics, was awarded Educator of the Year at the American College of Health Care Administrators 2023 national awards ceremony during and annual Convocation.