Bass, Berry & Sims attorney Alison Grippo provided insight for an article outlining the payback requirement Tennessee's Medicaid agency, TennCare, is requiring of doctors who provided primary care services to underserved patients in 2013 and 2014. TennCare and Medicaid allege that 118 Tennessee doctors did not adhere to the requirements set forth by the Centers for Medicare and Medicaid Services (CMS) for doctors to qualify for enhanced Medicaid payments. Tennessee is one of the first states to perform the federally mandated audit of primary care providers and the results could indicate how other states may enforce the regulations. Of the doctors being asked to reimburse TennCare, "about 31 have filed independent appeals," said Alison.
The full article, "Medicaid Boom Turns to Bust for Tennessee Docs," was published by MedPageToday on July 13, 2016, and is available online.