Waltz Comments on New CMS Program-Integrity Regulation
September 6, 2019
Report on Medicare Compliance
Partner Judith Waltz was quoted in a Report on Medicare Compliance article, “CMS Rule: Providers Could Lose Medicare Privileges Because of Tainted ‘Affiliations,’’ about a new CMS rule designed to keep, or kick, providers out of Medicare if they pose an undue risk of fraud, waste or abuse.
Waltz said the new rule, which takes effect Nov. 4, is a very big deal. “It’s like data mining on steroids, because as a provider, you have to figure out who your affiliates are, and all this information goes on your 855 enrollment form,” she said.
If a provider has what is known as a “disclosable event,” that is discovered by CMS, Waltz added, the provider could be subject to a civil monetary penalty. “It’s scary,” she said. “I get where they’re coming from on this, but there may be some harsh results in certain situations.”
Waltz said the new rule, which takes effect Nov. 4, is a very big deal. “It’s like data mining on steroids, because as a provider, you have to figure out who your affiliates are, and all this information goes on your 855 enrollment form,” she said.
If a provider has what is known as a “disclosable event,” that is discovered by CMS, Waltz added, the provider could be subject to a civil monetary penalty. “It’s scary,” she said. “I get where they’re coming from on this, but there may be some harsh results in certain situations.”
Read the full article here.
People
Related News
December 3, 2025
In the News
Vanessa Miller Assesses Automotive Tariff Impact on Trucking Industry
Foley & Lardner LLP partner Vanessa Miller discussed the ongoing disruption in trucking demand resulting from recent automotive tariffs in the TruckingDive article, “Tariffs swing volumes up and down for auto haulers.”
November 28, 2025
In the News
Cassandra Aubert Assesses Circuit Split on SEC Disgorgement Authority
Foley & Lardner LLP associate Cassandra Aubert commented on the growing scrutiny around the U.S. Security and Exchange Commission's disgorgement authority in the Bloomberg Law's article, “SEC Power to Recoup Illegal Profits at Risk as Justices Eye Case."
November 25, 2025
In the News
Gregory Husisian Analyzes SCOTUS Tariff Case
Foley & Lardner LLP partner Gregory Husisian appeared in a SupplyChainBrain video interview to discuss the U.S. Supreme Court case on the Trump administration’s imposition of tariffs under the International Emergency Economic Powers Act (IEEPA) and options the administration can consider should the court strike them down.