Suspensions and debarments are “administrative remedies” used to prevent the Government from working with parties who are not “presently responsible”. An individual or entity is not presently responsible if they engaged in criminal activity or other improper conduct, or have demonstrated serious poor performance to such a severe and compelling nature that it would lead to questioning their honesty, ethics, or competence. Federal agencies
Medicare receives over 100,000 complaints annually. You’re not alone if you’re dissatisfied with any aspect of the federal healthcare program. You might be wondering how to express your concerns. Frequently Asked Questions What is a grievance with Medicare? A Medicare grievance is a patient’s dissatisfaction with any aspect of a health care provider’s service or even the health care plan itself. It can be
The Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification required the adoption of a standard for a unique health identifier for healthcare providers. The NPI Final Rule, published on January 23, 2004, established the NPI unique identification number as this standard. Covered healthcare providers, health plans, and clearinghouses must use NPIs in administrative and financial transactions. The Centers for Medicare & Medicaid Services (CMS) developed
