Skip to Main Content

New Medicare and Medicaid Enrollment Rules Take Effect Today

Medicare for Geeks

Significant changes effecting Medicare- and Medicaid-enrolled providers and suppliers take effect today, March 25, 2011.  The new regulations are in response to provisions in the recent health care reform legislation designed to enhance the enrollment procedures to protect against fraud.  All Medicare-enrolled providers and suppliers were grouped into one of three categories "limited," "moderate," or "high" risk, with delineated enrollment screening procedures for each category. The greater the perceived risk of fraud, the more scrutiny for the applicant or enrollee.

Other key changes include enrollment application fees, the ability to implement temporary enrollment moratoria, and the authorization to suspend payments during an investigation of a "credible allegation of fraud" – one from a reliable source with an "indicia of reliability."

To learn more about the new regulations, click here.

Subscribe to

Related Practices

Related Industry

Have Questions?
Let's Talk!

To discuss how this topic could affect
your company, click above to email us.

Email Disclaimer

NOTICE: The mailing of this email is not intended to create, and receipt of it does not constitute an attorney-client relationship. Anything that you send to anyone at our Firm will not be confidential or privileged unless we have agreed to represent you. If you send this email, you confirm that you have read and understand this notice.
Cancel Accept