Lexology December 12, 2023
On November 16, 2023, the Centers for Medicare & Medicaid Services (“CMS”) published proposed changes to the Medicare provider enrollment requirements in the Calendar Year 2024 Physician Fee Schedule final rule (“Final Rule”). Ultimately, CMS anticipates that these changes will bring clarity and help strengthen the enrollment process, in addition to protecting Medicare beneficiaries and the Medicare Trust Funds from fraudulent behavior by providers and suppliers.
Below we have summarized some of the more impactful regulatory updates that providers and suppliers will need to be aware of, which go into effect on January 1, 2024.
Reasons for Revocation and Denials
The Final Rule broadens CMS’s current revocation and denial authorities in several different ways. Among other changes, CMS can now...
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