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CMS Publishes new final enrollment rule for Medicare Providers.

Posted by: Robert Markette
April 24, 2006

On Friday, April 21, 2006, CMS published the final rule governing enrollment as a Medicare provider. The new rule is designed to reduce fraudulent or abusive Medicare billing practices. It includes a new standard enrollment requirement and requirements for periodic updates of provider information.

The new regulation is effective on June 20, 2006.

Although I have not yet had time to read through the entire rule, here area few highlights I noticed. (I intend to read through the rule and comments today and have more details posted this afternoon or tomorrow.) I have attached a copy of what was printed in the Fedral Register on Friday to this post.

All providers will be subjected to a five-year “recertification” cycle. This will require a submission of certain information every five years. Just in case you did not have enough paperwork to do already. (A regulator’s response to most issues – require more paperwork.)

CMS reserves the right to require “off cycle” revalidations more frequently than every five years. CMS also reserves the right to increase the frequency of revalidations under certain circumstances.

In other news, I have to mention next week is the Indiana Association for Home and Hospice Care’s Annual meeting. I mention it, not only because I will be presenting at a few sessions there, but because it is an excellent opportunity to meet your colleagues and learn something new about your industry. Of course, every year I present the annual health law update, but this year our firm is also doing a bonus seminar on employment law. I will be addressing non-compete agreements in home health.

For those of you reading in Indiana, if you are there, I expect I will see you next week. (If you are going or thinking about going, and have not sent in your reservation, contact IAHHC.)

Finally, after three of four months of blogging, I have confirmed that this blog is actually being read by somebody besides me. For those of you who do read it, thanks. Also, if you ever have any thoughts or suggestions, feel free to let me know. I am still tinkering with this blog and reader’s thoughts would be helpful. Again, thanks for reading.

Attachments:
71_fr_20754.pdf

         

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