Program integrity targets in HHS budget include enrollment, exclusions, PMDs

Why This Topic Matters

The article helps readers understand which compliance areas HHS is targeting and why those proposals may affect provider operations, enrollment maintenance, affiliation review, and authorization workflows.

Article Sections

1. Compliance

   Introduces the budget’s program integrity emphasis and frames the discussion around fraud and waste oversight in Medicare and Medicaid.

2. Enrollment

   Covers proposed enrollment-related oversight and the administrative responsibilities providers may need to keep current.

3. Exclusions

   Discusses exclusion screening and affiliated-entity review as part of compliance and due diligence efforts.

4. Power mobility devices (PMD)

   Reviews proposed pre-authorization or pre-payment review attention directed at a specific equipment category within program integrity efforts.

5. Advanced imaging

   Addresses proposed prior authorization for selected imaging services and the broader budget context for that policy.