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Proposed Rule Addresses Big Change to Medicare Provider Enrollment - Health Care and Life Sciences News

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Health Care and Life Sciences News


Posted on: Feb 29, 2016

Please note: This article was originally published on the website of Plews Shadley Racher & Braun LLP on February 26, 2016. You can view the original post here

By Ashley Leonard, Plews Shadley Racher & Braun LLP

The Centers for Medicare and Medicaid Services (“CMS”) is expected to publish its proposed rule addressing program integrity enhancements to the provider enrollment process on Tuesday, March 1, 2016.  The proposed rule would implement portions of the Affordable Care Act that would require Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) providers and suppliers to disclose certain current and previous affiliations with other providers and suppliers.  The effect of the proposed rule would be to provide CMS with the authority to deny or revoke enrollment based on affiliations that CMS determines “pose an undue risk of fraud, waste or abuse” to the federal health care programs. Continue reading...

This post was written by Ashley N. Leonard of Plews Shadley Racher & Braun LLP. If you would like to submit content or write an article for the Health Care and Life Sciences Section page, please email Rachel Beachy at rbeachy@indybar.org.

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