For Medicare enrollees denied enrollment or current providers or suppliers that had billing privileges revoked, CMS established the option to file a Corrective Action Plan (CAP). Filing a CAP provides the opportunity to “correct” the deficiencies that resulted in the denial or revocation.
Medicare for Geeks is written by Donna J. Senft, an attorney and shareholder in Baker Donelson's Health Law Group. Donna has nearly a decade of experience in advising enrolled providers to maintain complete PECOS data and complete revalidations to avoid deactivation or revocation of billing privileges, and to file CAPs and appeals when privileges are lost. She also helps providers with coding and payment issues, peer review and professional standards, and professional disciplinary matters.
Baker Donelson's Health Law Group dates back nearly 35 years, to the beginnings of health law as a recognized practice area. The Group is a leader in providing premier legal services to academic and community hospitals, health systems, long-term care facilities, clinical laboratories, institutional pharmacies, physicians and physician organizations.