Tag: Retroactive
Retroactive revocations top concerns in proposed rule
July 31, 2026Liz Beaulieu, Editor
YARMOUTH, Maine – A proposal from the Centers for Medicare & Medicaid Services (CMS) to recoup payments retroactive to the date of noncompliance for all enrollment revocations would significantly increase the risk exposure of durable medical equipment (DME) providers, regulatory experts say.
Under current regulations, some Medicare enrollment revocations take effect prospectively, becoming effective 30 days after CMS or its contractor mails notice of the revocation to the affected provider....
CMS seeks to tighten provider enrollment provisions
July 2, 2026HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) on July 1 released a 2027 Home Health Prospective Payment System proposed rule that includes new provider enrollment provisions that would apply across Medicare provider and supplier types. Among the provisions: The ability to claw-back payments retroactive to the date of noncompliance for all revocations.
Under current regulations, certain Medicare enrollment revocations become effective prospectively — specifically,...