Win for Physician on CMS Revocation List

The firm successfully secured a partial reversal of a Center for Medicare Services (CMS)’s revocation and preclusion of a physician when his institution had omitted to include the existence of a prior conviction in an application to the CMS billing program.

A year after the conviction, CMS revoked his privileges to bill Medicare and imposed a ten-year preclusion bar. But, the firm was able to obtain a reversal and reassessment of the bar by demonstrating the physician had no role or knowledge of the submission of the application.

The standard for attaining this outcome is high and the burden is onerous, but the firm is proud to announce that it nevertheless was able to change the reassessment of the time on the preclusion bar from ten years to four.