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7 Things You Need to Know About the CMS Preclusion List

The CMS Preclusion List, which names providers and prescribers who are precluded from receiving payment for Medicare Advantage (MA) items and services or Part D drugs furnished or prescribed to Medicare beneficiaries, identifies providers according to their Tax Identification Number (TIN) level. The list was created with three main goals: 1. To ensure that problematic prescribers do not receive payment for prescribing Part D drugs, 2. To reduce burdens on Part D and MA providers while maintaining program integrity and 3. To replace MA’s enrollment requirements.


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Post By Ken Shafton (2,119 Posts)