Conditions of Coverage sanctions
Credentialing Resource Center Connection, May 5, 2005
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Q: What sanctions might you face if you are not in compliance with the proposed ESRD Conditions of Coverage?
A: The possible penalties for noncompliance include
- termination of Medicare coverage
- alternative sanctions, such as
- denial of payment for services furnished to Medicare patients first accepted for care after the effective date of the sanction
- reduction of payments for all ESRD services furnished to Medicare patients by 20% for each 30-day period after the effective date of the sanction
- withholding of all payments, without interest, for all ESRD services furnished to Medicare beneficiaries
This question was answered by Carrie L. McGinnis, RN, MBA, chief executive officer, Healthcare Design Specialists, Springfield, MO.
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