tci Medicare Compliance & Reimbursement - 2013 Issue 15

Compliance: Make Sure Your Compliance Plan Meets ACA Requirements

Your Medicare, Medicaid and CHIP program participation could be at stake. CMS may be taking its time creating guidelines, but that doesn’t mean you get a pass on the compliance plan requirement. Having a well-vetted compliance plan in place is an ACA requirement. The rule: Section 6401 of the Affordable Care Act (ACA) requires that all providers and suppliers, regardless of their size, institute formal compliance programs as a condition for participation for enrollment in the Medicare, Medicaid and CHIP program. The impact: New practices will no longer be able to enroll in Medicare or Medicaid without a...

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