Articles and Blogs

Buried in the July 1, 2026, proposed rule for the Home Health Prospective Payment System (“Proposed Rule”), the Centers for Medicare & Medicaid Services (“CMS”) proposed changes to provider enrollment and a provider’s ability to obtain and maintain Medicare billing privileges. Notably, the changes to provider enrollment regulations at 42 CFR Part 424, Subpart... READ MORE

The Centers for Medicare and Medicaid Services (“CMS“) issued a wide-ranging Request for Information (“RFI”) on February 26, which could reshape current program integrity efforts to prevent and detect fraud, waste and abuse in government health care programs. CMS, under its new Comprehensive Regulations to Uncover Suspicious Healthcare (“CRUSH”) initiative, is seeking stakeholder input... READ MORE