decisionhealth Newsletters, Part B News - 2014 Issue 6 (June)
Plan to fingerprint high-risk Medicare enrollees could impact practices
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Article Overview
This compliance-focused article summarizes CMS’s announcement about a fingerprint-based background check process for certain high-risk Medicare enrollees under Medicare enrollment oversight rules. It explains the general scope of the proposal, the types of provider organizations initially targeted, and why some physician practices that enroll to furnish durable medical equipment may need to pay attention. The article is relevant to practice administrators, compliance staff, and providers that manage Medicare enrollment or ownership structures.
Why This Topic Matters
Medicare enrollment requirements can affect a practice’s ability to participate in the program, particularly when ownership interests or supplier activities place the organization in a higher-risk category. Understanding the policy direction helps practices anticipate possible administrative burdens and compliance obligations.
What You Will Learn
- The general purpose of CMS’s fingerprint-based background check initiative
- Which categories of Medicare providers are discussed in the initial rollout
- Why certain physician practices may be affected by the enrollment policy
- How the proposed background check process is described at a high level
- What role ownership and prior Medicare exclusion history may play in the policy framework
Who Should Read This
- Physician practice administrators
- Compliance officers
- Medicare enrollment staff
- DME supplier organizations
- Home health agency administrators
- Physicians who enroll as Medicare suppliers
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