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Medicare Provider and Supplier Enrollment Requirements: Expanded CMS Oversight Authority and Recent Trends
Stay of Enrollment Status; Mental Health and Family Therapy Suppliers; Revocation Effective Date and Timeline
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About the Course
Introduction
This CLE webinar will guide healthcare practitioners through the most recent CMS Medicare provider and supplier enrollment regulations at 42 C.F.R. 424, Subpart P and related CMS guidance which allows CMS to revoke or deny enrollment in the Medicare and contains significant compliance obligations. The panel will discuss the potentially harsh consequences of noncompliance and best practices to mitigate risk.
Description
Enrolling and maintaining Medicare billing privileges requires Medicare providers and suppliers to comply with the detailed enrollment regulations at 42 C.F.R. 424, Subpart P and related CMS guidance. Expanded Medicare coverage for telehealth services has led to an increase in virtual services and CMS has revised its guidance for providers enrolling to furnish these services. In recent years, revised and expanded authorities have imposed additional disclosure obligations on providers and suppliers to establish and maintain Medicare enrollment. Finally, changes to Medicare enrollment requirements will subject certain providers to a provisional period of enhanced oversight.
Listen as our expert panel guides practitioners through the CMS enrollment requirements for providers and suppliers and recent updates. The panel will also discuss the consequences of noncompliance and provide best practices to mitigate risk.
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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Live Online
On Demand
Date + Time
- event
Monday, March 10, 2025
- schedule
1:00 p.m. ET./10:00 a.m. PT
- Introduction
- Medicare enrollment for telehealth and virtual care providers
- Provisional period of enhanced oversight for certain providers
- Enhanced disclosure obligations including for skilled nursing facilities
- Change of ownership reporting and trends in ownership disclosures
- Revocation and deactivation of Medicare enrollment and consequences
- Best practices for compliance
The panel will review these and other important issues:
- What authority does CMS have to deny or revoke Medicare enrollment applications?
- What disclosure requirements apply to Medicare providers and suppliers?
- How do Medicare enrollment requirements apply to telehealth and virtual care providers?
- What actions must a seller and buyer take when there is a change of ownership of a Medicare provider or supplier?
- What are the potential consequences of noncompliance?
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