[cid:[email protected]]<http://www.cms.gov/MLNgeninfo/>

Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out 
Physician/Non-physician Practitioners Who Are Excluded by the Office of 
Inspector General (OIG)" MLN Matters(r) Article Released

MLN Matters(r) Special Edition Article 
#SE1223<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1223.pdf>,
 "Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out 
Physician/Non-physician Practitioners Who Are Excluded by the Office of 
Inspector General (OIG)," was released and is now available in downloadable 
format. This article is designed to provide education on how opt-out physicians 
and non-physician practitioners, who elect to order and refer and have been 
excluded by the OIG, can file an appeal.  It includes guidelines on Medicare 
requirements for opting out of the Medicare Program.


"Questionable Billing By Suppliers of Lower Limb Prostheses" MLN Matters(r) 
Article Revised

MLN Matters(r) Special Edition Article 
#SE1213<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1213.pdf>,
 "Questionable Billing By Suppliers of Lower Limb Prostheses," was revised and 
is now available in downloadable format. This article is designed to provide 
education on major findings cited in the August 2011 Department of Health and 
Human Services, Office of Inspector General (OIG) report titled "Questionable 
Billing By Suppliers of Lower Limb Prostheses."  It includes an overview of the 
study and major OIG findings, and recommendations related to Medicare 
requirements for lower limb prostheses.


New Fast Fact on MLN Provider Compliance Web Page

A new fast fact is now available on the MLN Provider 
Compliance<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance.html>
 web page.  This web page provides the latest Medicare Learning Network(r) 
(MLN) products designed to help Medicare Fee-For-Service providers understand - 
and avoid - common billing errors and other improper activities.  A list of 
previous fast facts is available on the MLN Provider Compliance Fast Fact 
Archive<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/mln-fastfact-archive.pdf>
 page.  Please bookmark this page and check back often as a new fast fact is 
added each month.

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