Medicare and Medicaid Enrollment and Revalidation After the Finalized New Rule

Obtaining and Maintaining Enrollment and Billing Privileges

A live 90-minute CLE webinar with interactive Q&A

Tuesday, May 5, 2020

1:00pm-2:30pm EDT, 10:00am-11:30am PDT

Early Registration Discount Deadline, Friday, April 10, 2020

or call 1-800-926-7926

This CLE webinar will provide counsel to healthcare providers with crucial steps to successfully obtain and maintain their enrollment and billing privileges under the enhanced Medicare and Medicaid enrollment requirements.


CMS' Program Integrity Enhancements to the Provider Enrollment Process rule provides the most significant changes in over a decade. Under the recently finalized changes, CMS has expanded its authority. CMS can now prevent revoked providers and suppliers from enrolling or re-enrolling in the Medicare program under a different name or entity.

The risk-based enrollment and revalidation screening procedures raise operational and administrative challenges for providers and increase the risk of deactivation or revocation of Medicare billing privileges or termination from the Medicare and Medicaid programs.

Counsel for healthcare providers must understand how CMS and the states implement the enrollment standards to advise clients on measures to take to obtain billing privileges, accurately revalidate program enrollment, and avoid compliance pitfalls.

Listen as our authoritative panel of healthcare counsel provides practical measures for complying with the new Medicare and Medicaid enrollment requirements to obtain and maintain enrollment and billing privileges.



  1. Enrollment
    1. Provider screenings--risk levels
    2. Other gatekeeping mechanisms
  2. Revalidation
  3. Enforcement measures
    1. Payment suspension
    2. Termination of provider participation
  4. Responding to notice of enrollment suspension or termination
  5. Appealing a termination or deactivation decision
  6. Corrective action plans--practical considerations when drafting


The panel will review these and other key issues:

  • What compliance best practices should providers use to increase the likelihood of meeting the enrollment requirements?
  • What approaches are most useful for responding to a notice of enrollment deactivation, revocation of billing privileges, or termination?
  • How can providers appeal an enrollment revocation of billing privileges or termination decision?
  • Understanding the distinctions between the appeals process in an enrollment case versus an appeal of a claim's determination or survey sanction


Berg, Jesse
Jesse A. Berg

Lathrop GPM

Mr. Berg counsels healthcare providers on federal and state anti-kickback laws, the Stark physician self-referral law,...  |  Read More

Skeat, Kelly
Kelly J. Skeat

Benesch Friedlander Coplan & Aronoff

Ms. Skeat represents hospitals, physician practices, life science and durable medical equipment companies and private...  |  Read More

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Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

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