OIG Exclusion List

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Medicare Enforcement: CMS Has Expanded Its Ability to Revoke or Deny Provider Enrollment

by admin on September 10, 2019 No comments

medicare enforcementBy: Karina Gonzalez

A Final Rule recently issued by CMS will require Medicare, Medicaid, and CHIP (Children’s Health Insurance Program) providers and suppliers to disclose current and previous affiliations (direct or indirect) with a provider or supplier that: (1)  has uncollected debt; (2) has been or is excluded by the OIG (Office of Inspector General) from Medicare, Medicaid or CHIP, or (3) has had its billing privileges with either of these three programs denied or revoked. Such provider affiliations may lead to enrollment being denied if it poses a risk to fraud, waste or abuse.

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adminMedicare Enforcement: CMS Has Expanded Its Ability to Revoke or Deny Provider Enrollment