Wednesday, June 13, 2018

Provider Reporting of Adverse Legal Actions

Lilly Hummel


As part of the Centers for Medicare and Medicaid Services’ (CMS) ongoing focus to reduce provider burden, the agency announced it no longer requires Medicare payment suspensions and CMS-imposed Medicare revocations to be reported. The announcement specifies which Final Adverse Actions must continue to be reported and how to do so. Final Adverse Actions should be reported by Medicare providers and suppliers with new or unreported actions and those individuals listed on an application as having managing control or an ownership interest. The official instructions to Medicare Administrative Contractors are also available.

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