(1) CMS, last Wednesday, August 10th, sent notice that:
Medicare Providers Must Begin to Revalidate Enrollment By March 2013
All providers and suppliers who enrolled in the Medicare program prior to Friday, March 25, 2011, will be required to revalidate their enrollment under new risk screening criteria required by the Affordable Care Act (section 6401a). (Providers/suppliers who enrolled on or after Friday, March 25, 2011 have already been subject to this screening, and need not revalidate at this time.)
In the continued effort to reduce fraud, waste, and abuse, CMS implemented new screening criteria to the Medicare
provider/supplier enrollment process beginning in March 2011.
Two Notes about the above. 1st within a day, give or take,
we will post a more robust CMS explanation of this on the "News" page of IFASC.COM
2nd http://www.cms.gov/MLNMattersArticles/downloads/SE1126.pdf
provides more thorough info about "provider revalidation" via the Medicare Learning Network (MLN)
(2) Yesterday, the 15th, a follow-up reached us, entitled: CMS Fraud Prevention Initiative
If you help people with Medicare, Medicaid and the Children's Health Insurance Program (CHIP), you should know about an expanded federal government effort to reduce fraud and other improper payments in these health care programs to ensure their long-term viability.
...The CMS Fraud Prevention Initiative aims to ascertain that correct payments are made to legitimate providers for covered appropriate and reasonable services in all federal health care programs.
...Assistance is available in the CMS Fraud Prevention Toolkit, https://www.cms.gov/Partnerships/04_FraudPreventionToolkit.asp.
Closing Note: IFASC.COM will post more of this, plus the link
