CMS Rescinds New Enrollment Requirements

Two new requirements recently added to the Medicare enrollment process may not be required after all.

The Centers for Medicare & Medicaid Services (CMS) recently added to the CMS-855I enrollment application and the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) equivalent a question that asks:

“Do you accept new Medicare patients?”

And in Section L – Advanced Diagnostic Imaging (ADI) Suppliers, physicians are now asked to list advanced diagnostic imaging services they might provide for Medicare patients, along with their accreditation for each service.

In a letter to CMS, the American Medical Association (AMA) cautioned that many physicians, unaware that the question about accepting new patients was mandatory, would leave the field blank, and subsequently their applications would be denied.

And the new ADI requirement is “an unnecessary burden for physicians because CMS already receives this information from the accreditation organizations,” the AMA contended.

In a letter to the AMA, CMS Administrator Donald Berwick, MD, said that it was not the agency’s intention to make the enrollment process more burdensome. “We have taken steps to make both fields optional.”

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