On March 25, a new CMS rule went into effect to strengthen provider and supplier screening requirements under Medicare, Medicaid and SCHIP. The rule, which was ordered under the Affordable Care Act, is intended to crack down on waste and fraud.
The rule outlines various risk categories of providers and the screening methods that should be used for each category, such as checking for licensure and querying the NPDB.
In February, Reed Smith LLP published a comprehensive review of the rule. To read their summary and outline of the rule's requirements, click here: