CMS Proposes New Medicare Enrollment Requirements Aimed to Prevent Fraud and Abuse

The Patient Protection and Affordable Care Act (PPACA) requires the US Department of Health and Human Services (HHS) to develop procedures to screen providers before and after the Medicare enrollment process. According to HHS Secretary Kathleen Sebelius, “[u]sing these new fraud prevention measures, CMS will be able to move from a ‘pay and chase’ approach to one that makes it harder to commit fraud in the first place.” In an effort to implement these provisions of the PPACA, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule addressing the enrollment process for Medicare providers and suppliers.

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