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The Center for Medicare & Medicaid Services (CMS) is a federal agency within the Department of Health and Human Services which
manages and oversees the federal health insurance program for beneficiaries 65 years or older. Physicians are required to comply with laws
and regulations related to various aspects of their practice within the Medicare program. Below are key areas that address many of the
regulatory guidance for practitioners and their staff.
Physician practices are faced with multiple compliance programs associated with clinical care, practice operations and regulatory privacy rules.
It is important to understand the standards as set forth by CMS and the Office of Inspector General as it relates to legal and regulatory compliance requirements.
Rheumatology services under Medicare Part B have reimbursement rates established by the Medicare Physician Fee Schedule. View the
physician fee schedule which reflects the variation in practice costs based on geographic location, relative value, practice expense and malpractice.
Each year physicians have the option to review and/or modify their contractual relationship within the Medicare program. Learn why it is
important for health care providers to understand their options within the program.