Hospice Insights Podcast - If Only I Knew… Avoiding the Most Common Mistakes with the 855
Business Better Podcast Episode - An Introduction to Bridging Campuses: Legal Insights on Education Industry Consolidation
Behind the Curtain: Enhanced Provider Enrollment Oversight
At a conference last week, Chris Klomp, chief counselor of the US Department of Health and Human Services and director of the Center for Medicare within the Centers for Medicare & Medicaid Services (CMS), stated that CMS is...more
Two recent regulatory actions by the Centers for Medicare & Medicaid Services (CMS) have reshaped the ownership and enrollment landscape for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers....more
The Centers for Medicare and Medicaid Services (“CMS”) recently announced new healthcare fraud measures that include the imposition of a six-month moratorium on provider enrollments of new durable medical equipment,...more
On February 27, 2026, the Centers for Medicare & Medicaid Services (CMS) published a Notice that it is using its ACA-provided authority to impose a temporary (six-month) nationwide moratorium on the Medicare enrollment of...more
On February 25, 2026, CMS announced a nationwide moratorium blocking new Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) supplier enrollments into Medicare. The moratorium began once it was published...more
In a Notice to be published in the Federal Register on February 27, 2026, the Centers for Medicare and Medicaid Services (CMS) is imposing a nationwide (including all states, territories and the District of Columbia)...more
On February 25, 2026, the Centers for Medicare & Medicaid Services (CMS) announced, among other actions, a six-month nationwide moratorium on Medicare enrollment for certain Durable Medical Equipment, Prosthetics, Orthotics,...more
Effective as of March 2026, covered employers must either register for, or certify their exemption from, the New York State Secure Choice Savings Program (“New York Secure Choice” or the “Program”)....more
Since the passage of the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services (CMS) within the US Department of Health and Human Services (HHS) has issued an annual rule, called the Notice of Benefit and...more
Section 6225 of the Consolidated Appropriations Act of 2026 (CAA 2026), enacted on February 3, 2026, fundamentally changes Medicare's treatment of hospital off-campus provider-based departments....more
2026 is shaping up to be a pivotal year for health care reimbursement. From major CMS payment rules to evolving disclosure requirements, AI scrutiny, and mounting pressure on providers across the care continuum, the 2026...more
Over the last few years, there has been an uptick in Medicare billing privileges deactivations for failure to timely and fully update or revalidate Medicare enrollment information and respond to development requests for...more
Medicare provider enrollment and the infamous CMS 855 Form rarely make for headline-grabbing topics. Nevertheless, the consequences of mismanaging your Medicare provider enrollment record can be severe, including deactivation...more
Providers and suppliers participating in the Medicare program should take note of new requirements and compliance considerations related to Medicare enrollment, information updates, changes of ownership, and increased risk...more
Effective January 1, 2026, Medicare providers and suppliers will be subject to a swath of new policies related to enrollment with the Centers for Medicare & Medicaid Services (CMS)....more
The Centers for Medicare & Medicaid Services (CMS) has issued updated sub-regulatory guidance announcing that the previously established January 1, 2026 deadline for Skilled Nursing Facilities (SNFs) to submit the new SNF...more
Effective January 1, 2026, all Durable Medical Equipment, Prosthetic Devices, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers will be subject to the Centers for Medicare & Medicaid Services (CMS) 36-month rule...more
As published in recently updated guidance, the Centers for Medicare & Medicaid Services (CMS) is indefinitely suspending the off-cycle skilled nursing facility (SNF) provider enrollment revalidation due date. This suspension...more
The Centers for Medicare and Medicaid Services (“CMS”) have indefinitely suspended the mandatory off-cycle Skilled Nursing Facility (“SNF”) provider enrollment revalidation deadline – one CMS most recently had extended to...more
On November 25, 2025, CMS released the Contract Year (“CY”) 2027 Medicare Advantage (“MA”) and Part D proposed rule (the “Proposed Rule”). The Proposed Rule would make significant changes to the MA and Part D programs,...more
Key Takeaways - CMS maintains its authority to impose Medicare reenrollment bars: CMS emphasizes its ability to apply reenrollment bars when a provider’s Medicare billing privileges are revoked, affecting all enrollments...more
The world of Medicare enrollment and the 855 may seem like a tangle of boring paperwork, but all that i-dotting and t-crossing is critical for avoiding Medicare deactivation and other unpleasant consequences. In this episode,...more
Since 2020, two important changes to the Medicaid program have been looming on the horizon for applicants and recipients of community-based Medicaid benefits (including home care services, coverage for care provided in...more
Independent school's enrollment contracts can be one of the most powerful instruments in the toolbox of an independent school administrator. At its core, the enrollment contract confirms a student's enrollment at the school...more
Annual benefits enrollment, which for many companies will be in the coming months, typically lasts one to two weeks, but the preparation process begins several months in advance. For human resources (HR) and benefits teams,...more