New CMS Program Integrity Final Rule Is Here—Guideposts for Operationalizing the New Disclosure Requirements - On Demand Recording
Recorded On: 11/06/2019
Time: 90 minutes
Session Format: On Demand Recording
CLE Credit Available: No
We do not apply for CLE credit or issue CLE certificates for our past programs and webinar recordings. Please check with your State Bar as to whether self-study credits can be awarded - CLE credit may be obtained by applying directly to the attorney’s state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body.
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On September 5, 2019, CMS released a final rule with comment period called "Medicare, Medicaid, and Children's Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process." Finalizing a proposed rule from 2016, CMS has imposed new enrollment disclosure requirements and created new avenues for denying or revoking enrollments across the range of providers and suppliers that participate in Medicare, Medicaid, or CHIP. Beginning November 4, 2019, providers and suppliers will be required to disclose certain current or past “affiliations” with other providers and suppliers if those affiliated providers and suppliers have been subject to a “disclosable event.” One key to understanding the impact of this final rule is understanding the broad scope of both “affiliation” and “disclosable events.” Hospitals, SNFs, physicians, and other providers and suppliers will need to keep track of a new range of conduct among a new range of relationships. Failure to track and disclose these affiliations will be at one’s peril, as CMS has authority to deny or revoke an enrollment if it determines that an affiliation presents “an undue risk of fraud, waste, or abuse” or if the provider or supplier failed to disclose the affiliation. The goals of this webinar will be to describe key concepts in the final rule and give those representing providers and suppliers guideposts for how to operationalize the new affiliation tracking that CMS has imposed. The webinar will focus on practical examples and takeaways.
Level of Difficulty: Intermediate
- AHLA Member: $99
- Non-AHLA Member: $149
- Accreditation, Certification, and Enrollment Affinity Group
- Regulation, Accreditation, and Payment Practice Group