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HHS Issues Proposed Rule
Changes to Physician Medicare Enrollment Process Aimed at Preventing Fraud, Abuse
By News Staff
If approved, the proposed rule would implement provisions contained in the recently enacted Patient Protection and Affordable Care Act, including those that deal with
- procedures under which screening is conducted for health care providers and suppliers in Medicare, Medicaid and CHIP;
- an application fee for certain providers and suppliers;
- a framework by which temporary moratoria would be imposed under certain circumstances to combat fraud, waste and abuse;
- guidance for states regarding the standing of health care providers enrolled in one of the three programs but terminated by another; and
- requirements for suspension of payments to health care providers and suppliers pending credible allegations of fraud in the Medicare and Medicaid programs.
"At first glance, it appears that physicians in general are not subject to the $500 application fee unless they also supply DMEPOS," said Bennett.
The AAFP is reviewing the proposed rule and will submit official comments on the rule to HHS before the department's deadline of Nov. 16 at 5 p.m. EST.
Family physicians are encouraged to offer HHS their personal comments on the rule; directions for submission of comments are available on page 58204 of the Federal Register announcement.