tci Medicare Compliance & Reimbursement - 2021 Issue Q2

Medicare Provider Enrollment: Feds Slow-Walk Provider Affiliation Mandates

Don’t expect the CMS-855 application update any time soon. If you were worried about disclosing your provider and supplier affiliations on your Medicare enrollment forms, you’ve got a little time before that requirement goes live. But, be warned — Medicare may still ask you for the information anyway. Reminder: In September 2019, the Centers for Medicare & Medicaid Services (CMS) issued the Program Integrity Enhancements to the Provider Enrollment Process final rule to stem corruption before providers become enmeshed in the Medicare system. The rule’s primary aim was to flush out “bad actors” from the...

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