The Affordable Care Act (ACA) set forth a number of requirements regarding how state Medicaid and Medicare services are delivered. Chief among these mandates was a shift in provider eligibility revalidation requirements, which now specify that all providers, depending on their provider type, must be re-enrolled every three to five years.
Picture this scenario: As the enrollment specialist in a group practice, you find out that your group has hired a new provider. You also learn that this provider is already a well-established practitioner in the area, and that the provider is merely “moonlighting” with your practice. How will this affect the way you approach this enrollment? What are some of the concerns in enrollment that may arise? Can you avoid these potential issues?
It's packed with valuable insights to make governance, risk, and compliance the simplest part of your day.