Medicare Managed Care Manual - CMS

Medicare Managed Care Manual Chapter 6 - Relationships With Providers Table of Contents (Rev. 82, 04-27-07) Transmittals for Chapter 6 10 - Introduction 20 - provider Involvement in Policy-Making - Physician Consultation in Medical Policies - Consultation in Development of Credentialing Policies 30 - Written Information on Physician Participation 40 - Interference With Health Care Professionals Advice to Enrollees Prohibited 50 - provider Anti-Discrimination 60 - provider Participation - Notice of Reason for Not Granting Participation - Confirmation of Eligibility for Participation in Medicare : excluded and Opt-Out provider Checks - Credentialing, Monitoring, and Recredentialing - Suspension, Termination, or Nonrenewal of Physician Contract 70 - Institutional provider and Supplier Certification 80 - Physician Incentive Plans - Requirements and Limitations - Disclosure of Physician Incentive Plans 90 - provider Indemnification of MA Organization Prohibited 100 - Special Rules for Services Furnished by Non-Contract Providers 10 - Introduction (Rev.)

Excluded and Opt-Out Provider Checks (Rev. 24, 06-06-03) Excluded Providers The Office of the Inspector General (OIG) maintains a sanction list that identifies those individuals found guilty of fraudulent billing, misrepresentation of credentials, etc. The MA organizations employing or contracting with health providers have a responsibility to

Loading..

Tags:

  Provider, Excluded, Excluded providers

Information

Related search queries