The Departmental Appeals Board (DAB) and Civil Remedies Division (CRD) provide impartial, independent review of disputed decisions in a wide range of programs under the authority of more than sixty statutory provisions. Since January 1, 2012, the DAB and CRD have heard a handful of cases relating to Medicare provider enrollment issues. The outcomes in these cases provide healthcare lawyers with a better understanding of Medicare enrollment rules and current regulatory enforcement trends. For this reason, the Accreditation, Certification, and Enrollment Affinity Group intends to track DAB and CRD decisions relating to Medicare enrollment on a going forward basis. Emily W.G. Towey, JD, MHA, and the Medicare/Medicaid Enrollment Team at Hancock Daniel Johnson & Nagle PC have provided the following enrollment-related DAB and CRD case summaries for 2012 year-to-date.
To read case decisions from previous years, or for the full text of DAB and CRD decisions referenced in these summaries, visit the U.S. Department of Health & Human Services website: DAB decisions and CRD decisions.
Civil Remedies Division Decisions
- Department Appeals Board Decisions