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CMS Preclusion List FAQs

The Centers for Medicare and Medicaid (CMS) Preclusion List is a record of 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. The List was found under a Federal Register Rules and Regulations update to be necessary to: replace MA and prescriber enrollment requirements and ensure patient protections and safety, and to protect trust funds from prescribers and providers identified as bad actors. The CMS Preclusion List is not the same as the OIG Exclusion list, which comprises any individual or entity that poses unacceptable risks to patient safety or program fraud.

 

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Post By Ken Shafton (887 Posts)