The Centers for Medicare & Medicaid Services seeks stakeholder input on the potential for actual or perceived conflicts of interest when Medicare-approved accrediting organizations offer fee-based consulting services to the Medicare-participating providers and suppliers they accredit. The agency said the information will help it determine whether future rulemaking, guidance or changes to the Medicare AO application and renewal process are needed. “We are concerned that the practice of offering both accrediting and consulting services – and the financial relationships involved in this work – may undermine the integrity of accrediting organizations and erode the public’s trust,” said CMS Administrator Seema Verma. The request for information will be published in Friday’s Federal Register, with comments accepted for 60 days. AHA plans to seek input from members and comment on the issue, including whether a strong “firewall” between an organization’s accrediting arm and consulting arm provides sufficient protection from conflicts of interest.

Related News Articles

Headline
A new report from KFF reveals that Medicare Advantage enrollees had access to just 48% of the physicians available to Traditional Medicare beneficiaries in…
Headline
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address…
Headline
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and…
Headline
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans…
Headline
Medicare open enrollment for 2026 began Oct. 15 and runs through Dec. 7. During the annual enrollment period, Medicare-eligible individuals can check their…
Headline
The AHA Oct. 3 responded to the Medicare Payment Advisory Commission’s recent analysis on the financial impacts of Medicare Advantage enrollment growth on…