Home Health & Hospice Week

Even with everything else on your plate in 2020, you can’t afford to slack off on recording disclosable events for enrollment purposes.

Reminder: A final rule that took effect Nov. 4, 2019, requires Medicare, Medicaid, and CHIP providers and suppliers to disclose certain current and previous affiliations with other providers and suppliers and gives the Centers for Medicare & Medicaid Services additional authority to deny or revoke a provider’s Medicare enrollment in certain circumstances. Medicare can deny or revoke enrollment based on any disclosable event that CMS determines poses “an undue risk of fraud, waste, or abuse,” or based on a failure to disclose a disclosable event (see Eli’s HCW, Vol. XXVIII, No. 32).

Take action: “Begin documenting the occurrence of any of these events in preparation for any requested reporting by CMS,” creating a historical file, encourages The Health Group in Morgantown, West Virginia, in its electronic newsletter.

Disclosable events include uncollected debts, payment suspensions, and enrollment revocation.