Federal Regulations

Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria, Payment Suspensions and Compliance Plans for Providers and Suppliers

On February 2, 2011, CMS will publish final rules to implement provisions of the Affordable Care Act that establish: procedures under which screening is conducted for providers of medical or other services and suppliers; an application fee imposed on institutional providers and suppliers; temporary moratoria that may be imposed if necessary to prevent or combat fraud, waste, and abuse; and requirements for suspension of payments pending credible allegations of fraud in the Medicare and Medicaid programs. The rules also discusses, without finalizing, the earlier solicitation of comments regarding provisions requiring providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs. In addition, the rule contains a solicitation for comments on fingerprinting for certain providers and suppliers.

Commentary From the Federal Register

On February 2, 2011 CMS will publish a final rule entitled Screening Requirements, Application Fees, Temporary Enrollment Moratoria, Payment Suspensions and Compliance Plans for Providers and Suppliers. This rule discusses, without finalizing, the earlier solicitation of comments regarding compliance programs and the proposed elements of such program. The link goes to the specific commentary dealing with the compliance programs contained in the larger rule.

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News

After Repeal Vote, Healthcare Reform Fight Goes On  

US News and World Report, January 24, 2011

How Republicans Could Take a Scalpel to Healthcare Reform

Miami Herald, January 30, 2011

Few Employers Are Very Familiar With Health Care Reform

PR Newswire, January 27, 2011

American's Oppose Yanking Healthcare Law Funds: Poll

Reuters, January 25, 2011

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