CMS Issues New Provider Enrollment Administrative Action Authorities

The Centers for Medicare & Medicaid Services (CMS) issued a final rule in September  2019 that strengthens the agency’s ability to stop fraud before it happens by keeping unscrupulous providers out of federal health insurance programs. The final rule, Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-FC), creates several new revocation and denial authorities…

CMS Issues Rule to Tighten Provider Enrollment

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule that strengthens the agency’s ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs. The final rule, Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-FC), creates several new revocation and denial authorities to…