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CMS Issues Enrollment Updates to Chapter 15 of the Program Integrity Manual

On December 27, 2013, the Centers for Medicare & Medicaid Services (“CMS”) issued revisions to Chapter 15 of the Medicare Program Integrity Manual.
The key clarifications/updates of interest to providers include:

• Instructions for processing disclosures of final adverse actions reported by providers and suppliers or law enforcement agencies;

• New instructions for the maintenance of information for all “Contact Persons” listed in Section 13 of Form CMS-855 until the provider or supplier provides written instructions for removing the contact person’s information from the Provider Enrollment, Chain, and Ownership System; and

• Additional clarification for determining whether a change of ownership (“CHOW”) has occurred after a stock transfer.

The updates will be implemented on January 28, 2014.

For more information, or for questions related to Medicare enrollment, please contact Adrienne Dresevic, Esq. or Carey Kalmowitz, Esq., at (248) 996-8510 or via email at adresevic@thehlp.com or ckalmowtiz@thehlp.com.

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