A new federal enforcement trend is sending shockwaves through California’s hospice sector and beyond. Health care providers are discovering that their Medicare enrollment, and often their entire practice, can be jeopardized simply because of whom they once worked with, not because of anything they personally did. The Centers for Medicare and Medicaid Services calls it affiliation. Under federal regulations, CMS or its contractors can revoke a provider’s Medicare enrollment if the agency determines that an affiliation poses an “undue risk” of fraud, waste, or abuse. Affiliation risk is becoming one of the most aggressive and far-reaching enforcement mechanisms CMS has deployed in years.
Read the full article: Medicare Crackdown on Hospice Affiliations Threatening Providers //
Source: https://news.bloomberglaw.com/legal-exchange-insights-and-commentary/medicare-crackdown-on-hospice-affiliations-threatening-providers