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New Rule Curbs Impact of Suspect DME Claims on 2023 MSSP Financial Calculations

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Effective October 15, a new Final Rule issued by the Centers for Medicare & Medicaid Services (CMS) will allow the Medicare Shared Savings Program (MSSP) to adjust calendar year (CY) 2023 benchmark and expenditure calculations to mitigate the impact of certain “significant, anomalous, and highly suspect” (SAHS) billing activity. The Final Rule demonstrates CMS’ willingness to act quickly to prevent MSSP accountable care organizations (ACOs) from being harmed as a result of pervasive and...
By: Bass, Berry & Sims PLC

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