CMS Medicare Provider Enrollment Requirements Could Drive Home Health Agencies Out of Business

Posted Sunday, May 9, 2021

New changes to the Medicare provider enrollment might have major aftereffects for home health providers down the line.

CMS can rescind a providers’ Medicare enrollment if they are associated with “bad actors” which leaves them at risk for fraud.  To enforce this, they will send out requests for affiliation disclosures when they find out that a provider has one or more relationships that is sketchy.

“The move is a proactive measure on CMS’s part, private-practice attorney Elizabeth E. Hogue told Home Health Care News.”

“What CMS is getting at here is they want to stop fraud before it occurs, as opposed to chasing it after it has already occurred,” she said. “That’s the thrust of these new requirements.”

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