Tag Archives: CMS regulations

Rick Hindmand was featured in "CMS Regulations Expand Enrollment Screening Procedures and Authority to Suspend Payment," published by RBMA

CMS Regulations Expand Enrollment Screening Procedures and Authority to Suspend Payment
By: Rick Hindmand

The Centers for Medicare & Medicaid Services (CMS) recently announced a final rule (the “Rule”) adopting three levels (limited, moderate and high) of screening standards for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) providers and suppliers based on the level of risk for fraud. The Rule also establishes procedures for the imposition of moratoria on the enrollment of categories of providers, and establishes procedures for the suspension of Medicare and Medicaid payments, in whole or in part, in cases of “credible allegations of fraud.”

Read full article