Home health payment rule includes aggressive Medicare enrollment revocation proposals

CMS's proposed 2027 Home Health Payment Rule, noted in a July 7 analysis, includes provisions that would significantly expand the agency's authority to revoke Medicare enrollment. The proposed safeguards aim to combat fraud but could give CMS broader power to remove providers deemed 'problematic' through an expedited process. This follows a pattern of recent CMS proposals to tighten program integrity. While focused on home health, such policies often set precedents for other provider types. Billing and compliance leads for any Medicare-participating practice should monitor the final rule's language, as it could affect enrollment risk assessments and audit preparedness.