What CMS Rule On Affiliations Means For Health Providers

Law360 (September 10, 2019, 5:49 PM EDT) -- On Sept. 5, the Centers for Medicare & Medicaid Services of the U.S. Department of Health and Human Services released its final rule with comment period adding program integrity enhancements to the provider enrollment process. The rule was printed in the Federal Register on Sept. 10 and will take effect on Nov. 4 (although CMS will take comments on the new provisions until that date).

The new Medicare rule, which revises several regulations and adds 42 C.F.R. § 424.519 titled “Disclosure of affiliations,” adds several new authorities to revoke or deny enrollment, including authorizing CMS to deny or revoke enrollment based...

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