tci Medicare Compliance & Reimbursement - 2006 Issue 38

MEDICARE ENROLLMENT: New Medicare Enrollment Form Has Danger Zones For Providers

Doctors must read the fine print before signing the new 855I. If a physician practice's compliance plan isn't up to scratch, the doctor could be signing up for a Medicare witch hunt.The new CMS 855I enrollment for physicians includes some new statements that could get providers into trouble down the line. In particular, on page 24, a physician must attest that:· he or she understands that Medicare claims must comply with all laws and regulations, including (but not limited to) the anti-kickback law and the Stark self-referral law.· neither the doctor nor any "managing employee" is currently...

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