ED Coding & Reimbursement Alert - 2021 Issue 6
Medicare Provider Enrollment: Feds Delay Affiliation Directives on Provider Apps
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Article Overview
This article discusses CMS guidance on Medicare provider enrollment, focusing on the timing of affiliation disclosure requirements, the agency’s phased implementation approach, and related enrollment-process considerations. It is relevant to providers, suppliers, and coding or compliance professionals who track Medicare enrollment policy changes and CMS instructions tied to Form CMS-855 applications and MLN Matters guidance.
Why This Topic Matters
Medicare enrollment disclosures can affect whether providers and suppliers must report relationships and related events during enrollment or revalidation. Understanding the current CMS approach helps compliance teams monitor when requests may occur and what types of enrollment information may be needed.
What You Will Learn
- How CMS is handling affiliation disclosure requirements in the Medicare enrollment process
- Why the timing of Form CMS-855 updates matters for provider enrollment workflows
- What general compliance considerations providers and suppliers should keep in mind when CMS requests affiliation information
- How CMS guidance and MLN Matters materials relate to enrollment disclosure policy
Who Should Read This
- Medicare providers
- Medicare suppliers
- Healthcare compliance professionals
- Medical billing and coding professionals
- Provider enrollment staff
- Healthcare attorneys and consultants
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