3 focused guides in this cluster. Use the individual articles for the exact transaction rather than treating the entire payer/onboarding workflow as one status.
Medicare uses Limited, Moderate, and High categorical screening levels. High-risk screening can include fingerprint-based FBI criminal history checks for individuals with 5% or more direct or indirect ownership, and the current high-risk categories include newly enrolling HHA, DMEPOS, MDPP, certain OTP, SNF, and hospice cases.
READ GUIDE ↗Moderate-risk Medicare enrollment adds a site visit to the Limited-risk screening steps. Practice locations should be operationally ready, with signage, hours, location details, and on-site staffing consistent with the enrollment record.
READ GUIDE ↗High categorical risk screening adds fingerprint submission and an FBI criminal history check for individuals with at least a 5% direct or indirect ownership interest. Confirm both the provider category and the specific owners who must complete screening.
READ GUIDE ↗