Fraud and Abuse

Our LeadingAge legal team offers analyses of regulations, case law and legislative developments regarding fraud and abuse issues.

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Provider Enrollment Validation Rule Went Into Effect March 2011

Under this rule, newly enrolling and revalidating providers and suppliers under the Medicare, Medicaid and CHIP programs, will be placed in one of 3 screening categories by the Centers for Medicare and Medicaid Services (CMS) program according to the level of risk such category of providers poses for fraud waste and abuse. More

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