SMART Act

Conditional payment disputes mired in Medicare appeals backlog

Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging, thanks to a major backlog of pending Medicare appeal requests. The Strengthening Medicar...

CMS Releases New Final Rule: Expedited Conditional Payment Process

On May 17, the Centers for Medicare and Medicaid Services (CMS) released its final rule on the SMART Act’s interim conditional payment process through the Federal Register, and insurers will want t...

Medicare Conditional Payment Compliance: Myth vs. Fact

The statutes and regulations that govern Medicare have been referred to by courts as “ the most completely impenetrable texts within human experience .” With the complex nature of Medicare complian...

CMS to Hold NGHP Section 111 Town Hall Call on December 10, 2014

CMS will be holding a NGHP Section 111 Town Hall teleconference on December 10, 2014 from 1:00 to 3:00 p.m. ET.   A copy of CMS’ notice and call-in instructions can be obtained here . The following...

Major Medicare Reforms Become Law — Are You Ready?

In a major development on the Medicare front, President Obama has signed the Strengthening Medicare and Repaying Taxpayers (SMART) Act into law. The SMART Act makes major revisions to Section 111...