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Watch for new Medicare Advantage enrollment requirements, data sets

CMS wants to require all providers and suppliers involved in Medicare Advantage services — including HMOs, Program of All-inclusive Care for the Elderly (PACE) and other organizations — to be enrolled in Medicare “in an approved status,” according to the proposed 2017 Medicare physician fee schedule.

CMS perhaps is motivated by recent Congressional hearings on Medicare Advantage overspending and possible fraud, and the agency says it wants MA beneficiaries to have “the same protections against potentially unqualified or fraudulent providers and suppliers” as fee-for-service beneficiaries.

To read the full article visit pbn.decisionhealth.com.