Hospital Payment Delays for Unreported Practice Locations

The revalidation process and increased sanctions for non-compliance with the requirements to update Medicare enrollment has not succeeded in ensuring all providers understand the importance of having accurate Medicare enrollment data. And, some providers mistakenly believe that all of the provider’s practice locations must have been reported since claims were being paid.  CMS’ historic purposeful separation between Medicare enrollment data in PECOS and claims data in FISS facilitated that misunderstanding.  Effective as of January 1, 2017, that will change. (more…)