Medicaid Providers Warned About Collection Arrangements

New York’s Medicaid Fraud Control Unit (MFCU) recently sent letters to health care providers in the state regarding “percentage of collection” arrangements with outside billing companies. These arrangements are illegal under Medicaid law, and providers should evaluate all billing vendor service contracts to confirm they do not provide compensation to the billing company based on a percentage of collections. The MFCU states in its correspondence, “Billing agents are [...]

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E-prescribing Mandate Begins March 27, 2016, But New Exemptions Apply

As of March 27, 2016, New York State will be the first state to mandate practitioners (excluding veterinarians) to issue electronic prescriptions for controlled and non-controlled substances. The new regulations require prescribers and pharmacists to implement secure (encrypted or encoded) systems for electronic transmissions, and computer applications must be in compliance with federal requirements and registered with the Department of Health, Bureau of Narcotic Enforcement. Although [...]

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