tci Part B Insider - 2021 Issue Q2

Medicare Provider Enrollment: Feds Delay Affiliation Directives on Provider Apps

Don’t anticipate the updated CMS-855 application until 2022 — or later. If sending Medicare the detailed history of your affiliations with other providers and suppliers on the enrollment form gives you pause, there’s some good news. Medicare doesn’t plan to update the applications with the affiliations’ requirement any time soon. But, be warned — the feds may still ask you for the information anyway. Backtrack: 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...

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